Praise Foundation LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PRAISE FOUNDATION LLC

Practice address

68 Garside St
Newark, NJ 07104-1006

Phone

(862) 930-6688

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Olapemi ObolanleNPI 1609474543

Title

Owner

Phone

(609) 994-5080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olapemi O Obolanle

  • Non-emergency Medical Transport (VAN)
  • Livingston, NJ
  • NPI 1609474543
  NPD Authorized official

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1851918544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GARSIDE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041006",
            "telephone_number": "862-930-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 GARSIDE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041006",
            "telephone_number": "862-930-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "OBOLANLE",
        "authorized_official_first_name": "OLAPEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-994-5080"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Newark, NJ
• Providers in Newark, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.