NPIMap

Organization Active NPI

C-Neta Behavioral Health Services LLC

  • In Home Supportive Care Agency
  • Newark, NJ
National Provider Identifier
1730773284
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
C-NETA BEHAVIORAL HEALTH SERVICES LLC
Practice address
211 Warren St Ste 313
Newark, NJ 07103-3568
Phone
(973) 757-5100
Fax
(973) 755-2002
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Obianuju Chiemelu
Title
Owner
Phone
(973) 234-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

211 Warren St Ste 313
Newark, NJ 07103-3568

Mailing address

211 Warren St Ste 313
Newark, NJ 07103-3568
Phone (973) 757-5100

Other identifiers 1

IdentifierTypeStateIssuer
0719684MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
C-Neta Behavioral Health Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1730773284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WARREN ST STE 313",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033568",
            "telephone_number": "973-757-5100",
            "fax_number": "973-755-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WARREN ST STE 313",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033568",
            "telephone_number": "973-757-5100",
            "fax_number": "973-755-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-NETA BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CHIEMELU",
        "authorized_official_first_name": "OBIANUJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-234-0992"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719684",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.