Moving Forward Developmental Center L L C

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MOVING FORWARD DEVELOPMENTAL CENTER L L C

Practice address

210 S Black Horse Pike
Blackwood, NJ 08012-2955

Phone

(856) 542-8929

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Keelan VictorNPI 1326541582

Title

Director

Phone

(856) 542-8929

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keelan Victor

  • Day Training/Habilitation Specialist
  • Blackwood, NJ
  • NPI 1326541582
  NPD Authorized official
• Noelle Maples, ASSISTANT DIRECTOR

  • Day Training/Habilitation Specialist
  • Blackwood, NJ
  • NPI 1518576024
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1689283186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122955",
            "telephone_number": "856-542-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122955",
            "telephone_number": "856-542-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD DEVELOPMENTAL CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "KEELAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-542-8929"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Hyunjae Min, RPH
• Vanessa Ashley Moore, RN
• Shakirah Morgan
• Michele Morley, COTA
• Samantha L Morrone-Wolbert, LSW, LCADC
• Naspac1 LLC
• National Mentor Healthcare, LLC
• New Jersey CVS Pharmacy LLC
• Sean Lean Ngo, RPH
• Nurse Practitioner Professional Resources

• Adult Day Care Clinic/Center in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.