NPIMap

Organization Active NPI

Union Association of the Childrens Home of Burlington County

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mount Holly, NJ
National Provider Identifier
1962661009
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1100 Issued in NJ
Legal business name
UNION ASSOCIATION OF THE CHILDRENS HOME OF BURLINGTON COUNTY
Practice address
243 Pine St
Mount Holly, NJ 08060-2201
Phone
(609) 267-1550
Fax
(609) 261-5672
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Mr. Roy Leitstein
Title
Executive Director
Phone
(609) 267-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1100 NJ Primary

Addresses

Primary practice location

243 Pine St
Mount Holly, NJ 08060-2201

Mailing address

243 Pine St
Mount Holly, NJ 08060-2201
Phone (609) 267-1550

Other identifiers 1

IdentifierTypeStateIssuer
0131539MedicaidNJ

Other names 1

  • The Childrens Home of Burlington County Other name

National Provider Directory

National Provider Directory
Tax ID family
Union Association of the Children's Home116 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1962661009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PINE ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602201",
            "telephone_number": "609-267-1550",
            "fax_number": "609-261-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 PINE ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602201",
            "telephone_number": "609-267-1550",
            "fax_number": "609-261-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION ASSOCIATION OF THE CHILDRENS HOME OF BURLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "LEITSTEIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-267-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NJ",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131539",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Childrens Home of Burlington County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.