County Health Care Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COUNTY HEALTH CARE SERVICES LLC

Practice address

110 Winston Rd
Mount Laurel, NJ 08054-1015

Phone

(202) 702-5407

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Pius Nde Fon

Title

Owner/Ceo

Phone

(202) 702-6407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1942752050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WINSTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541015",
            "telephone_number": "202-702-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WINSTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541015",
            "telephone_number": "202-702-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "PIUS",
        "authorized_official_middle_name": "NDE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "202-702-6407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.