Active NPI
My Brothers Keeper Care Agency LLC
Doing business as MBK Care Agency LLC
- Community/Behavioral Health Agency
- Toms River, NJ
National Provider Identifier
1710189329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MY BROTHERS KEEPER CARE AGENCY LLC
- Doing business as
- MBK Care Agency LLC
- Practice address
- 1040 RT 166 Apt 2405
Toms River, NJ 08753-0875 - Phone
- (732) 505-4615
- NPI assigned
- Jun 5, 2007
- 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
- Mr. Gregory L Searight Jr.
- Title
- Owner
- Phone
- (848) 448-4636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NJ | Primary |
Addresses
Primary practice location
1040 RT 166 Apt 2405
Toms River, NJ 08753-0875
Mailing address
1040 RT 166 Apt 2405
Toms River, NJ 08753-0875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019950 | Medicaid | NJ |
Other names 1
- MBK Care Agency LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710189329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 RT 166 APT 2405",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087530875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 RT 166 APT 2405",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087530875",
"telephone_number": "732-505-4615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BROTHERS KEEPER CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEARIGHT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "848-448-4636",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019950",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MBK Care Agency LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.