NPIMap

Organization Active NPI

Personalized Independent Living Opporuntities & Training Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Holly, NJ
National Provider Identifier
1710367347
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES
Practice address
5 Regency Dr
Mount Holly, NJ 08060-1356
Phone
(856) 809-0600
Fax
(856) 809-0500
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Mrs. Catherine J. Hannah
Title
Executive Director
Phone
(856) 906-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5 Regency Dr
Mount Holly, NJ 08060-1356

Mailing address

289 Jackson Rd
Berlin, NJ 08009-2619
Phone (856) 809-0600

Other names 1

  • P.I.L.O.T. Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personalized Independent Living Opporuntities Training Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1710367347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 JACKSON RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092619",
            "telephone_number": "856-809-0600",
            "fax_number": "856-809-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENCY DR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601356",
            "telephone_number": "856-809-0600",
            "fax_number": "856-809-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-906-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": [
        {
            "organization_name": "P.I.L.O.T. Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.