NPIMap

Organization Active NPI

Prime Healthcare Services - Saint Clare's LLC

Doing business as St. Clare's Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Boonton, NJ
National Provider Identifier
1740844158
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC
Doing business as
St. Clare's Behavioral Health
Practice address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone
(973) 316-1899
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Toni Manzione, LCSW
Title
Operations Manager
Phone
(973) 316-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

130 Powerville Rd
Boonton, NJ 07005-8705
Phone (973) 316-1899

Other identifiers 1

IdentifierTypeStateIssuer
0482897MedicaidNJ

Other names 1

  • St. Clare's Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tmanzione@primehealthcare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services - Saint Clare's LLC13 organizations share this tax ID, including this one
Part of
Prime Healthcare Services - Saint Clare's LLC

Other organizations with this tax ID 12

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": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1740844158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-316-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-316-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "MANZIONE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "973-316-1899",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482897",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tmanzione@primehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Manager email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "130 Powerville Rd",
            "city": "Boonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070058705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Clare's Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.