NPIMap

The Arc Ocean County Chapter, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Forked, NJ

NPI 1578089488 · NPPES record last updated Aug 22, 2017

Key facts

NPI
1578089488
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
THE ARC OCEAN COUNTY CHAPTER, INC.
Practice address
900 Gary Smith Way Apt 4102
Cornerstone at Lacey Apt 4102
Forked, NJ 08731
Phone
(732) 363-3335
NPI assigned
Aug 22, 2017
Organization subpart
No

Authorized official

Name
Sally Stoneham
Title
Executive Assistant
Phone
(732) 363-3335

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
The Arc Ocean County Chapter Inc (106 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

900 Gary Smith Way Apt 4102
Cornerstone at Lacey Apt 4102
Forked, NJ 08731

Mailing address

815 Cedarbridge Ave
Lakewood, NJ 08701-4932
Phone (732) 363-3335

Other identifiers

IdentifierTypeStateIssuer
0463027MedicaidNJ

Sources for this page

Verify at the official NPI Registry.