NPIMap

Organization Active NPI

Life Skills Resource Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hillsborough, NJ
National Provider Identifier
1912358326
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH756 Issued in NJ
Legal business name
LIFE SKILLS RESOURCE CENTER
Practice address
10 Mallard Rd
Hillsborough, NJ 08844-4605
Phone
(908) 927-1110
Fax
(908) 927-1113
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Jeffrey Markowitz, ED.M.
Title
President and Executive Director
Phone
(908) 927-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH756 NJ Primary

Addresses

Primary practice location

10 Mallard Rd
Hillsborough, NJ 08844-4605

Mailing address

PO Box 935
Somerville, NJ 08876-0935
Phone (908) 927-1110

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Resource Center6 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.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1912358326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088760935",
            "telephone_number": "908-927-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MALLARD RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444605",
            "telephone_number": "908-927-1110",
            "fax_number": "908-927-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "MARKOWITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-927-1110",
        "authorized_official_credential": "ED.M."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

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