NPIMap

Organization Active NPI

Arc of Camden County Stratford Ave Supported Living

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • West Berlin, NJ
National Provider Identifier
1912425893
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ARC OF CAMDEN COUNTY STRATFORD AVE SUPPORTED LIVING
Practice address
322 Stratford Ave
West Berlin, NJ 08091-9228
Phone
(856) 767-3807
NPI assigned
Aug 31, 2017
Organization subpart
Yes
Parent organization
ARC OF CAMDEN COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Thomas Mannion
Title
Cfo
Phone
(856) 767-3807

Specialties & licenses 1

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

Addresses

Primary practice location

322 Stratford Ave
West Berlin, NJ 08091-9228

Mailing address

215 W White Horse Pike
Berlin, NJ 08009-1132

National Provider Directory

National Provider Directory
Tax ID family
Arc of Camden County - Heather Sa65 organizations share this tax ID, including this one
Part of
Arc of Camden County - Heather Sa

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1912425893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 STRATFORD AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919228",
            "telephone_number": "856-767-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF CAMDEN COUNTY STRATFORD AVE SUPPORTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC OF CAMDEN COUNTY, INC.",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "MANNION",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-767-3807"
    },
    "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": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.