Organization Active NPI

Kba Community Supports LLC

  • Developmentally Disabled Services Day Training Agency
  • Lakewood, NJ
National Provider Identifier
1770492290
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
KBA COMMUNITY SUPPORTS LLC
Practice address
30 Irene CT
Lakewood, NJ 08701-2988
Phone
(732) 604-7520
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Robert Grossman
Title
Owner
Phone
(732) 604-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

30 Irene CT
Lakewood, NJ 08701-2988

Mailing address

30 Irene CT
Lakewood, NJ 08701-2988
Phone (732) 604-7520

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1770492290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 IRENE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012988",
            "telephone_number": "732-604-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 IRENE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012988",
            "telephone_number": "732-604-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBA COMMUNITY SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-604-7520"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.