Somerset Hills Residential Treatment Center, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1600 Issued in NJ

Legal business name

SOMERSET HILLS RESIDENTIAL TREATMENT CENTER, INC.

Practice address

206 Mount Horeb Rd
Warren, NJ 07059-5622

Phone

(732) 469-6900

Fax

(732) 469-0024

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Jerome Amedeo

Title

Executive Director

Phone

(732) 469-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Somerset Hills Res Trlmt Ctr Other name

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BOUND BROOK RD",
            "address_2": "SUITE 1",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461486",
            "telephone_number": "732-764-8800",
            "fax_number": "732-764-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MOUNT HOREB RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595622",
            "telephone_number": "732-469-6900",
            "fax_number": "732-469-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HILLS RESIDENTIAL TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMEDEO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-469-6900"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NJ",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8716005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Hills Res Trlmt Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Warren, NJ
• Providers in Warren, NJ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.