NPIMap

Organization Active NPI

Occupational Training Center of Burlington County Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Marlton, NJ
National Provider Identifier
1841789864
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH2274 Issued in NH
Legal business name
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Practice address
1 Longhurst Rd
Marlton, NJ 08053-1933
Phone
(856) 596-4040
Fax
(856) 334-8473
NPI assigned
May 4, 2018
Organization subpart
Yes
Parent organization
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Mr. Jeffrey Lynn Haines, MA
Title
Ceo
Phone
(609) 267-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2274 NH Primary

Addresses

Primary practice location

1 Longhurst Rd
Marlton, NJ 08053-1933

Mailing address

2 Manhattan Dr
Burlington, NJ 08016-4120
Phone (609) 267-6677

Other names 1

  • Kathleen Wright Home Other name

National Provider Directory

National Provider Directory
Tax ID family
O39 organizations share this tax ID, including this one
Part of
O

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1841789864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MANHATTAN DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164120",
            "telephone_number": "609-267-6677",
            "fax_number": "609-265-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGHURST RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531933",
            "telephone_number": "856-596-4040",
            "fax_number": "856-334-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NH",
            "license": "GH2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Wright Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kathleen Wright Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.