NPIMap

Organization Active NPI

Community Quest, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Absecon, NJ
National Provider Identifier
1851811673
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMMUNITY QUEST, INC.
Doing business as
Community Quest, Inc
Practice address
400 Manor Dr Apt 504
Absecon, NJ 08201-2544
Phone
(609) 383-8868
NPI assigned
Jun 22, 2017
Last updated
Jun 22, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY QUEST, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Kerrie Jean Kelly
Title
Cfo
Phone
(609) 646-0388

Specialties & licenses 1

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

Addresses

Primary practice location

400 Manor Dr Apt 504
Absecon, NJ 08201-2544

Mailing address

6814 Tilton Road
Egg Harbor Township, NJ 08234
Phone (609) 646-0388

Other names 1

  • Community Quest, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communtity Quest Cornell17 organizations share this tax ID, including this one
Part of
Communtity Quest Cornell

Other organizations with this tax ID 16

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

View all 16

Locations

400 Manor Dr
Apt 504
Absecon, NJ 08201
Phone (609) 383-8868

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1851811673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 TILTON ROAD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANOR DR APT 504",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082012544",
            "telephone_number": "609-383-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY QUEST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY QUEST, INC.",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-646-0388"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Quest, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Quest, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Absecon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.