Active NPI
Favour Group Home LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Swedesboro, NJ
National Provider Identifier
1760201719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- FAVOUR GROUP HOME LLC
- Practice address
- 21 Cypress St
Swedesboro, NJ 08085-1258 - Phone
- (267) 694-8881
- NPI assigned
- Oct 7, 2024
- 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 Omokhuale Marughu
- Title
- Executive Director
- Phone
- (267) 694-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
21 Cypress St
Swedesboro, NJ 08085-1258
Mailing address
21 Cypress St
Swedesboro, NJ 08085-1258
Phone (267) 694-8881
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1760201719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CYPRESS ST",
"city": "SWEDESBORO",
"state": "NJ",
"postal_code": "080851258",
"telephone_number": "267-694-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CYPRESS ST",
"city": "SWEDESBORO",
"state": "NJ",
"postal_code": "080851258",
"telephone_number": "267-694-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAVOUR GROUP HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "MARUGHU",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "OMOKHUALE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "267-694-8881"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swedesboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.