Serv Connect Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SERV CONNECT INC

Practice address

12 Creekview Rd
Willingboro, NJ 08046-3527

Phone

(609) 406-0100

Fax

(609) 406-0307

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Robert Bacon

Title

Chief Operating Officer

Phone

(609) 662-3202

Specialties & licenses 1

Addresses

Tax ID family

Serv Connect Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Serv Connect, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Robbinsville, NJ
  • NPI 1043946452
  NPD tax ID
• Serv Connect, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Willingboro, NJ
  • NPI 1063149169
  NPD tax ID
• Serv Connect, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Willingboro, NJ
  • NPI 1245966647
  NPD tax ID
• Serv Connect, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Manchester, NJ
  • NPI 1326822776
  NPD tax ID
• Serv Connect, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Burlington, NJ
  • NPI 1417683822
  NPD tax ID

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1881321982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTCH RD FL 3",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282529",
            "telephone_number": "609-406-0100",
            "fax_number": "609-406-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CREEKVIEW RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463527",
            "telephone_number": "609-406-0100",
            "fax_number": "609-406-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV CONNECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-662-3202"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille E. Semple, D.O.
• Serenity Living Support Services
• Serv Achievement Centers Inc
• Serv Achievement Centers Inc
• Serv Achievement Centers Inc
• Serv Connect, Inc
• Serv Connect, Inc
• Asma Aftab Shah, MD
• Hafeza Shaikh, DO
• Zujajah S Shaikh, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.