Active NPI
Epiphany House, Inc.
- Substance Abuse Rehabilitation Facility
- Long Branch, NJ
National Provider Identifier
1730244245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- EPIPHANY HOUSE, INC.
- Practice address
- 373 Brighton Ave
Long Branch, NJ 07740-5201 - Phone
- (732) 870-9113
- Fax
- (732) 870-3372
- NPI assigned
- Dec 26, 2006
- 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
- Patricia Ruth Labunski
- Title
- Executive Director
- Phone
- (732) 775-0720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | NJ | Primary |
Addresses
Primary practice location
373 Brighton Ave
Long Branch, NJ 07740-5201
Mailing address
1110 Grand Ave
Asbury Park, NJ 07712-6012
Phone (732) 775-0720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7605404 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Epiphany House Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Asbury Park, NJ
- NPI 1841355344
Locations
1110 Grand Ave
Asbury Park, NJ 07712
Phone (732) 775-0720
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Asbury Park, NJ
- NPI 1558143859
-
- Addiction (Substance Use Disorder) Counselor
- Long Branch, NJ
- NPI 1306628169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730244245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 GRAND AVE",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077126012",
"telephone_number": "732-775-0720",
"fax_number": "732-502-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 BRIGHTON AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077405201",
"telephone_number": "732-870-9113",
"fax_number": "732-870-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIPHANY HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LABUNSKI",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "732-775-0720"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7605404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Branch, 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.