NPIMap

Organization Active NPI

Willing Hearts Community Care, LLC.

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1760067102
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILLING HEARTS COMMUNITY CARE, LLC.
Practice address
10 N End Ter
Newark, NJ 07104-4404
Phone
(973) 277-3204
Fax
(866) 441-0913
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Ms. Kathy Shoulars, MSW
Title
Chief Executive Officer
Phone
(973) 277-3204

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

10 N End Ter
Newark, NJ 07104-4404

Mailing address

10 N End Ter
Newark, NJ 07104-4404
Phone (973) 277-3204

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL willingheartscc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1760067102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N END TER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044404",
            "telephone_number": "973-277-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N END TER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044404",
            "telephone_number": "973-277-3204",
            "fax_number": "866-441-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLING HEARTS COMMUNITY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "SHOULARS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-277-3204",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "willingheartscc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Organizational Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 N End Ter",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071044404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 17, 2021; 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.