Organization Active NPI

Arc of Camden County - Mortkaatc

  • Developmentally Disabled Services Day Training Agency
  • Blackwood, NJ
National Provider Identifier
1780064741
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ARC OF CAMDEN COUNTY - MORTKAATC
Practice address
109 N Black Horse Pike
Suite #6
Blackwood, NJ 08012-3098
Phone
(856) 227-5800
Fax
(856) 227-5844
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ARC OF CAMDEN COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Ms. M M. Englebert
Title
Executive Director
Phone
(856) 767-3650

Specialties & licenses 1

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

Addresses

Primary practice location

109 N Black Horse Pike
Suite #6
Blackwood, NJ 08012-3098

Mailing address

215 W White Horse Pike
Berlin, NJ 08009-1132
Phone (856) 767-3650

National Provider Directory

National Provider Directory
Tax ID family
Arc of Camden County-Brookview Supported Living65 organizations share this tax ID, including this one
Part of
Arc of Camden County-Brookview Supported Living

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

109 N Black Horse Pike
Ste 6
Blackwood, NJ 08012
Phone (856) 227-5800

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1780064741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091132",
            "telephone_number": "856-767-3650",
            "fax_number": "856-767-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BLACK HORSE PIKE",
            "address_2": "SUITE #6",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123098",
            "telephone_number": "856-227-5800",
            "fax_number": "856-227-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF CAMDEN COUNTY - MORTKAATC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC OF CAMDEN COUNTY, INC.",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "ENGLEBERT",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-767-3650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.