Organization Active NPI

Village Wrap, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Collingswood, NJ
National Provider Identifier
1629362801
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
200049111 Issued in NJ
Legal business name
VILLAGE WRAP, INC
Practice address
316 Haddon Ave
Collingswood, NJ 08108-1235
Phone
(856) 240-1417
Fax
(856) 240-1426
NPI assigned
Jun 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Authorized official

Name
Sheena Y Ohlig, BA
Title
Director of Operations
Phone
(856) 240-1417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 200049111 NJ Primary

Addresses

Primary practice location

316 Haddon Ave
Collingswood, NJ 08108-1235

Mailing address

316 Haddon Ave
Collingswood, NJ 08108-1235
Phone (856) 240-1417

National Provider Directory

National Provider Directory
Tax ID family
Village Wrap Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1629362801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081235",
            "telephone_number": "856-240-1417",
            "fax_number": "856-240-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081235",
            "telephone_number": "856-240-1417",
            "fax_number": "856-240-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE WRAP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "OHLIG",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "856-240-1417",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "200049111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; 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.