NPIMap

Organization Active NPI

Volunteers of America

  • Mental Illness Community Based Residential Treatment Facility
  • Fanwood, NJ
National Provider Identifier
1972621761
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
20001M110440 Issued in NJ
Legal business name
VOLUNTEERS OF AMERICA
Practice address
204 Terrill Rd
Fanwood, NJ 07023-1025
Phone
(732) 827-2444
NPI assigned
Mar 27, 2007
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Ms. Orietta Brewer
Title
Executive Assistant Ceo
Phone
(212) 496-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 20001M110440 NJ Primary

Addresses

Primary practice location

204 Terrill Rd
Fanwood, NJ 07023-1025

Mailing address

205 W Milton Ave
Rahway, NJ 07065-3203
Phone (732) 827-2444

Other identifiers 1

IdentifierTypeStateIssuer
6194702MedicaidNJ

Other names 1

  • Volunteers of America-Theodora House Other name

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America-Gny19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1972621761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MILTON AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653203",
            "telephone_number": "732-827-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TERRILL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231025",
            "telephone_number": "732-827-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "ORIETTA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT  CEO",
        "authorized_official_telephone_number": "212-496-4303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "20001M110440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6194702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteers of America-Theodora House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Volunteers of America-Theodora House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.