NPIMap

Organization Active NPI

The Arc of Burlington County, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Burlington, NJ
National Provider Identifier
1962821215
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH97 Issued in NJ
Legal business name
THE ARC OF BURLINGTON COUNTY, INC
Practice address
115 E Broad St
Burlington, NJ 08016-1515
Phone
(609) 531-0211
Fax
(609) 386-2244
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Joanna Nevadomski
Title
Executive Director
Phone
(609) 531-0211

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AT3025 NJ
Developmentally Disabled Services Day Training Agency 251C00000X AT3025SN NJ
Early Intervention Provider Agency 252Y00000X SP9004 NJ
In Home Supportive Care Agency 253Z00000X CLS699 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH97 NJ Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH152 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH160 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH186 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH317 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA327 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA455 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH708 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH753 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH791 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1648 NJ

Addresses

Primary practice location

115 E Broad St
Burlington, NJ 08016-1515

Mailing address

115 E Broad St
Burlington, NJ 08016-1515
Phone (609) 531-0211

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Burlington County Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1962821215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161515",
            "telephone_number": "609-531-0211",
            "fax_number": "609-386-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161515",
            "telephone_number": "609-531-0211",
            "fax_number": "609-386-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BURLINGTON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "NEVADOMSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-531-0211"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "AT3025",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "AT3025SN",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "SP9004",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "CLS699",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH97",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH152",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH160",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH186",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH317",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA327",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA455",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH708",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH753",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH791",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.