The Arc, Warren County Chapter, NPI 1164954384
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, NJ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164954384 |
| NPI Entity Type | Organization |
| Provider Name | The Arc, Warren County Chapter |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 201 West Washington Ave., Apt., 1,3,5.7, Washington, NJ, US |
| Provider Mailing Address | 319 W Washington Ave, Washington, NJ, US, 078822157 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Robert Alexander Pruznick |
| Official Position | CEO |
| Phone | 908-689-7525 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| License No. | SA415 |
| License State | NJ |
| Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1710229778 | NJ | MEDICAID | 05 |
| 1982143988 | NJ | MEDICAID | 05 |
| 1063950012 | NJ | MEDICAID | 05 |
| 1073051025 | NJ | MEDICAID | 05 |
| 1508304395 | NJ | MEDICAID | 05 |
| 1962940742 | NJ | MEDICAID | 05 |
| 1396284097 | NJ | MEDICAID | 05 |
| 1821538638 | NJ | MEDICAID | 05 |
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PSYD Jed D Seltzer Individual |
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LPC Alexis Kilduff Individual |
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OTR/L Roua Mohamed Individual |
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MSW, LSW Meredith Kaufman Roth Individual |
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OTR/L Meaghan Myers Individual |
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MS. MS, LPC, NCC, CTMH Crystal C Robinson Individual |
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MR. Harold Scott JR. Individual |
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DR. PHARMD Heather Roni Pass Individual |
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PA-C Meghan Sue Fullarton Individual |
570 South Ave E Bldg A |
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LCSW Nancy F. Perez Individual |
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