NPIMap

Organization Active NPI

Eastern Christian Children's Retreat

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hawthorne, NJ
National Provider Identifier
1851777072
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH589 Issued in NJ
Legal business name
EASTERN CHRISTIAN CHILDREN'S RETREAT
Practice address
644 Goffle Hill Rd
Hawthorne, NJ 07506-3038
Phone
(973) 636-0944
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Jayne Press
Title
Executive Director
Phone
(201) 848-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH589 NJ Primary

Addresses

Primary practice location

644 Goffle Hill Rd
Hawthorne, NJ 07506-3038

Mailing address

700 Mountain Ave
Wyckoff, NJ 07481-1047
Phone (201) 848-8005

National Provider Directory

National Provider Directory
Tax ID family
Eastern Christian Children's Retreat21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1851777072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNTAIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811047",
            "telephone_number": "201-848-8005",
            "fax_number": "201-847-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GOFFLE HILL RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063038",
            "telephone_number": "973-636-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CHRISTIAN CHILDREN'S RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-848-8005"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.