NPIMap

Organization Active NPI

Assoc. for Retarded Citizens, Inc. Gloucester County

Doing business as The Arc Gloucester

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mullica Hill, NJ
National Provider Identifier
1639689102
Registry record updated Oct 10, 2017
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
ASSOC. FOR RETARDED CITIZENS, INC. GLOUCESTER COUNTY
Doing business as
The Arc Gloucester
Practice address
116 Iredell Lane
Mullica Hill, NJ 08062
Phone
(856) 478-6821
Fax
(856) 478-9698
NPI assigned
Oct 10, 2017
Last updated
Oct 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Ms. Ana Rivera
Title
Executive Director
Phone
(856) 848-8648

Specialties & licenses 1

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

Addresses

Primary practice location

116 Iredell Lane
Mullica Hill, NJ 08062

Mailing address

1555 Gateway Boulevard
West Deptford, NJ 08096
Phone (856) 848-8648

Other names 1

  • The Arc Gloucester Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assoc for Retarded Citizens Inc Gloucester County39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1639689102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 GATEWAY BOULEVARD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-848-8648",
            "fax_number": "856-848-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 IREDELL LANE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-478-6821",
            "fax_number": "856-478-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOC. FOR RETARDED CITIZENS, INC. GLOUCESTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-848-8648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc Gloucester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.