Friends Care a NJ Nonprofit Organization

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRIENDS CARE A NJ NONPROFIT ORGANIZATION

Practice address

26 Isabella Ave
Newark, NJ 07106-2027

Phone

(862) 272-7078

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Haleemah Godfrey

Title

Owner/Incorporator

Phone

(862) 888-1424

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1831974146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ISABELLA AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062027",
            "telephone_number": "862-272-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ISABELLA AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062027",
            "telephone_number": "862-272-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS CARE A NJ NONPROFIT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "HALEEMAH",
        "authorized_official_title_or_position": "OWNER/INCORPORATOR",
        "authorized_official_telephone_number": "862-888-1424",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.