NPIMap

Organization Active NPI

Morning Glory Behavioral Health Partial Care Program LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Neptune, NJ
National Provider Identifier
1619520178
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MORNING GLORY BEHAVIORAL HEALTH PARTIAL CARE PROGRAM LLC
Practice address
645 Neptune Blvd
Neptune, NJ 07753-4118
Phone
(732) 918-9905
Fax
(732) 918-9907
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Chana Schwab
Title
Director of Operations
Phone
(732) 918-9905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

645 Neptune Blvd
Neptune, NJ 07753-4118

Mailing address

645 Neptune Blvd
Neptune, NJ 07753-4118
Phone (732) 918-9905

Other names 1

  • Diamond Healthcare LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Diamond Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1619520178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-918-9905",
            "fax_number": "732-918-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-918-9905",
            "fax_number": "732-918-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY BEHAVIORAL HEALTH PARTIAL CARE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "732-918-9905"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Healthcare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.