Family Extended Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FAMILY EXTENDED CARE SERVICES

Practice address

247 Hoffman Blvd # 1
East Orange, NJ 07017-5011

Phone

(973) 938-2767

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dasia Ruth Fields

Title

Provider

Phone

(973) 938-2767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1659019594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 HOFFMAN BLVD # 1",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175011",
            "telephone_number": "973-938-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HOFFMAN BLVD # 1",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175011",
            "telephone_number": "973-938-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EXTENDED CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "DASIA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "973-938-2767"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.