Active NPI
Careconnect Support Agency LLC
- Developmentally Disabled Services Day Training Agency
- North Brunswick, NJ
National Provider Identifier
1952088106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CARECONNECT SUPPORT AGENCY LLC
- Practice address
- 502 Dillion CT
North Brunswick, NJ 08902-5510 - Phone
- (908) 257-1057
- NPI assigned
- Jun 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatmata Barrie, MSC., PMP
- Title
- Executive Manager
- Phone
- (908) 257-1057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
502 Dillion CT
North Brunswick, NJ 08902-5510
Mailing address
502 Dillion CT
North Brunswick, NJ 08902-5510
Phone (908) 257-1057
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- North Brunswick, NJ
- NPI 1538845110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1952088106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 DILLION CT",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025510",
"telephone_number": "908-257-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 DILLION CT",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025510",
"telephone_number": "908-257-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECT SUPPORT AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "BARRIE",
"authorized_official_first_name": "FATMATA",
"authorized_official_title_or_position": "EXECUTIVE MANAGER",
"authorized_official_telephone_number": "908-257-1057",
"authorized_official_credential": "MSC., PMP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.