NPIMap

Organization Active NPI

The Arc of Burlington County, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Willingboro, NJ
National Provider Identifier
1669854246
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
GH152 Issued in NJ
Legal business name
THE ARC OF BURLINGTON COUNTY, INC.
Practice address
28 Grayson Cir
Willingboro, NJ 08046-3312
Phone
(609) 835-1398
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mrs. Joanna Nevadomski
Title
Executive Director
Phone
(609) 531-0211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X GH152 NJ
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X GH152 NJ Primary

Addresses

Primary practice location

28 Grayson Cir
Willingboro, NJ 08046-3312

Mailing address

115 E Broad St
Burlington, NJ 08016-1515
Phone (609) 531-0211

Other names 1

  • The Arc of Burlington County - Grayson GH Other name

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Burlington County Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1669854246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161515",
            "telephone_number": "609-531-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRAYSON CIR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463312",
            "telephone_number": "609-835-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BURLINGTON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "NEVADOMSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-531-0211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "GH152",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc of Burlington County - Grayson GH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Arc of Burlington County - Grayson GH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 27, 2021; 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.