689 South 16TH Street Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

689 SOUTH 16TH STREET CORP

Doing business as

Emergency Housing Services

Practice address

555 Passaic Avenue
West Caldwell, NJ 07006

Phone

(973) 808-9300

NPI assigned

Apr 13, 2017

Last updated

Apr 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tricia Mac Evoy

Title

Trustee

Phone

(973) 271-5802

Specialties & licenses 5

Addresses

Other names 1

• Emergency Housing Services Doing business as

Tax ID family

689 South 16TH Street Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 689 South 16TH Street Corp

  dba Emergency Housing Services

  • Case Management Agency
  • West Caldwell, NJ
  • NPI 1174058168
  NPD tax ID

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1902330228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PASSAIC AVENUE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-808-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PASSAIC AVENUE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-808-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "689 SOUTH 16TH STREET CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "MAC EVOY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "973-271-5802"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Housing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 689 South 16TH Street Corp (Emergency Housing Services)
• Kifah Khair Abedrabbo
• Amanda Elizabeth Abene
• Anitha Abraham, APN
• Absolute Health Chiropractic LLC
• Danielle Ackerson, OT

• Case Management Agency in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.