Organization Active NPI

A.W. Holdings, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woolwich TWP, NJ
National Provider Identifier
1609433739
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
A.W. HOLDINGS, LLC
Practice address
1061 Oldmans Creek Rd
Woolwich TWP, NJ 08085-3113
Phone
(856) 457-8001
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Ann Bobay
Title
Chief Compliance Officer
Phone
(260) 207-5604

Specialties & licenses 1

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

Addresses

Primary practice location

1061 Oldmans Creek Rd
Woolwich TWP, NJ 08085-3113

Mailing address

8515 Bluffton Rd
Fort Wayne, IN 46809-3022

Other identifiers 1

IdentifierTypeStateIssuer
465526MedicaidNJ

Other names 1

  • Benchmark Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aw Holdings LLC53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1609433739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 OLDMANS CREEK RD",
            "city": "WOOLWICH TWP",
            "state": "NJ",
            "postal_code": "080853113",
            "telephone_number": "856-457-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.W. HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "BOBAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "260-207-5604"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465526",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woolwich TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.