Active NPI
Numeco Human Services Agency Inc.
- Home Health Agency
- Willingboro, NJ
National Provider Identifier
1639915069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NUMECO HUMAN SERVICES AGENCY INC.
- Doing business as
- Numeco Human Services Agency INC.
- Practice address
- 4209 Millennium Dr
Willingboro, NJ 08046-1051 - Phone
- (215) 932-5173
- NPI assigned
- Jul 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Isaac N Mitchell Sr., CEO
- Title
- Cheif Executive Officer
- Phone
- (215) 932-5173
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Transportation Network Company | 342000000X |
Addresses
Primary practice location
4209 Millennium Dr
Willingboro, NJ 08046-1051
Mailing address
4209 Millennium Dr
Willingboro, NJ 08046-1051
Phone (215) 932-5173
Other names 1
- Numeco Human Services Agency INC.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cognitive & Behavioral Psychologist
- Willingboro, NJ
- NPI 1902642333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1639915069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 MILLENNIUM DR",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461051",
"telephone_number": "215-932-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 MILLENNIUM DR",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461051",
"telephone_number": "215-932-5173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUMECO HUMAN SERVICES AGENCY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-04",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ISAAC",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "215-932-5173",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Numeco Human Services Agency INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.