Active NPI
Prasada Center for Wellbeing Inc
Doing business as Prasada In Home
- Community/Behavioral Health Agency
- Mount Arlington, NJ
National Provider Identifier
1649990771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PRASADA CENTER FOR WELLBEING INC
- Doing business as
- Prasada In Home
- Practice address
- 181 Howard Blvd Ste L
Mount Arlington, NJ 07856-2314 - Phone
- (973) 658-5668
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- 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
- Ms. Katherine V Sheldon, MS
- Title
- Ceo
- Phone
- (973) 685-5668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
181 Howard Blvd Ste L
Mount Arlington, NJ 07856-2314
Mailing address
112 E Shawnee TRL
Wharton, NJ 07885-2920
Phone (973) 814-0106
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0532614 | Medicaid | NJ | |
| 0622621 | Medicaid | NJ | |
| 0489981 | Medicaid | NJ |
Other names 1
- Prasada In Home
National Provider Directory
National Provider Directory- Tax ID family
- Prasada Center for Wellbeing
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Prasada In Home
- Community/Behavioral Health Agency
- Wharton, NJ
- NPI 1043684285
-
dba Prasada In Home
- Community/Behavioral Health Agency
- Mount Arlington, NJ
- NPI 1114541273
-
dba Prasada In Home
- Community/Behavioral Health Agency
- Wharton, NJ
- NPI 1477058568
-
dba Prasada In Home
- Developmentally Disabled Services Day Training Agency
- Mount Arlington, NJ
- NPI 1902441215
-
- Community/Behavioral Health Agency
- Randolph, NJ
- NPI 1831887637
Locations
181 Howard Blvd
Ste L
Mt Arlington, NJ 07856
Phone (973) 658-5668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1649990771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E SHAWNEE TRL",
"city": "WHARTON",
"state": "NJ",
"postal_code": "078852920",
"telephone_number": "973-814-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 HOWARD BLVD STE L",
"city": "MOUNT ARLINGTON",
"state": "NJ",
"postal_code": "078562314",
"telephone_number": "973-658-5668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRASADA CENTER FOR WELLBEING INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-685-5668",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0532614",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0622621",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489981",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prasada In Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Arlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.