Triple C Housing, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

20108M080240 Issued in NJ

Legal business name

TRIPLE C HOUSING, INC

Practice address

1520 Route 130 Ste 201
North Brunswick, NJ 08902-3145

Phone

(732) 658-6636

Fax

(732) 658-6642

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Stivale

Title

Executive Director

Phone

(732) 297-5840

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Triple C Housing Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Triple C Housing, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • North Brunswick, NJ
  • NPI 1285288142
  NPD tax ID

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1740340371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 130 STE 201",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023145",
            "telephone_number": "732-658-6636",
            "fax_number": "732-658-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ROUTE 130 STE 201",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023145",
            "telephone_number": "732-658-6636",
            "fax_number": "732-658-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE C HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "STIVALE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-297-5840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "20108M080240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Tobia, PTA
• Irene Trakthman, DDS
• Trans Medical Services
• Trident Physical Therapy LLC
• Triple C Housing, Inc
• Tristate Medcore LLC
• Sean Michael Trzaska, DDS
• James Ralph Tyler, MD
• Hansa Shirish Udeshi, M.D.
• Priyanka Upadhyaya, PSY.D

• Mental Illness Community Based Residential Treatment Facility in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.