21 Plus, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Voorhees, NJ
NPI 1699201095 · NPPES record last updated May 4, 2017
Key facts
- NPI
- 1699201095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- 21 PLUS, INC.
- Practice address
- 8 Prospect Ave
Voorhees, NJ 08043-1760 - Phone
- (856) 229-7808
- NPI assigned
- May 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. David Velardo
- Title
- Executive Director
- Phone
- (732) 240-3118
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- 21 Plus Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NJ | Yes |
Addresses
Primary practice location
8 Prospect Ave
Voorhees, NJ 08043-1760
Mailing address
252 Washington St
Toms River, NJ 08753-7582
Phone (732) 240-3118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465721 | Medicaid | NJ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.