A Legacy of Love Educational and Developmental Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A LEGACY OF LOVE EDUCATIONAL AND DEVELOPMENTAL SERVICES

Practice address

27 Thomas St
Bloomfield, NJ 07003-2327

Phone

(862) 236-0456

NPI assigned

May 18, 2021

Last updated

May 18, 2021By 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

Nicole Shantea Dupree

Title

Director

Phone

(862) 236-0456

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1902470487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 THOMAS ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032327",
            "telephone_number": "862-236-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 THOMAS ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032327",
            "telephone_number": "862-236-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LEGACY OF LOVE EDUCATIONAL AND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SHANTEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-236-0456"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alegacyofloveed@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Agency's email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27 Thomas St",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070032327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• 14 Washington St. Developers LLC
• 172 Csi Corp (black and white taxi)
• 1St Cerebral Palsy of New Jersey
• 320 EMS
• A & M Medical Billing Inc
• A Team Approach Physical Therapy Center
• A-Team Physical Therapy LLC
• A3 Therapy Services
• Aaccurate Physical Therapy, Inc.
• Aimee Lynn Ong Abalos

• Community/Behavioral Health Agency in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.