RESCUE MISSION OF TRENTON (NPI# 1063623056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063623056 |
| Entity Type | Organization |
| Organization Name | RESCUE MISSION OF TRENTON |
| Practice Address |
98 Carroll St Trenton NJ 08609-1008 |
| Mailing Address |
98 Carroll St Po Box 790 Trenton NJ 08609-1008 |
| Practice Telephone | 6093962183 |
| Practice Fax Number | 6096955199 |
| Mailing Telephone | 6093962183 |
| Mailing Fax Number | 6096955199 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARYGAY ABBOTT-YOUNG (CEO) |
| Authorized Official Telephone | 6093962183 |
| Authorized Official Credential | LCADC, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | NJSSA2628-1 | NJ | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0092461 | 05 | |
| NJ | 8721203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164815437 | Rescue Mission of Trenton | Clinic/Center | 72 Ewing St, Trenton, NJ 08609-1027 | 2015-03-11 |
| 1376936641 | Rescue Mission of Trenton | Substance Abuse Rehabilitation Facility | 96 Carroll St, Trenton, NJ 08609-1008 | 2015-03-11 |
| 1134489537 | Rescue Mission of Trenton | Clinic/Center | 98 Carroll St, Trenton, NJ 08609-1008 | 2012-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RESCUE MISSION OF TRENTON | 98 Carroll St, Trenton, NJ 08609-1008 |
| Street Address |
98 CARROLL ST |
| City | TRENTON |
| State | NJ |
| Zip Code | 08609-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124499942 | Henry J.austin Health Center At The Rescue Mission of Trenton | Clinic/Center | 98 Carroll St, Trenton, NJ 08609-1008 | 2015-10-20 |
| 1134489537 | Rescue Mission of Trenton | Clinic/Center | 98 Carroll St, Trenton, NJ 08609-1008 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440359 | Jeannette Oliveras | Nurse Practitioner | 218 North Broad St., Trenton, NJ 08609 | 2019-08-01 |
| 1932539061 | Empire Washitaw De Dugdahmoundyah Nation of Muurs | Substance Abuse Rehabilitation Facility | 106 Assunpink Village, Millham Township, Trenton, NJ 08609 | 2013-11-27 |
| 1902245350 | Catholic Charities | Community/Behavioral Health | 833 Cass Street, Trenton, NJ 08609 | 2013-06-19 |
| 1164795282 | Avril O Noyan | Nurse Practitioner | 112 Ewing Street, Trenton, NJ 08609 | 2012-02-21 |
| 1245558774 | Mary Lopez | Counselor | 39 N. Clinton Ave, Catholic Charities, Trenton, NJ 08609 | 2010-05-07 |
| 1407085913 | Shuifa Liao | Pharmacist | 201 N. Hermitage Ave, Trenton, NJ 08609 | 2009-07-06 |
| 1265692883 | Charles M Ortegon | Dentist | 637 Greenwood Ave, Trenton, NJ 08609 | 2008-06-17 |
| 1912033911 | Kelly Branham Zaremba | Counselor | 39 North Clinton Avenue, Trenton, NJ 08609 | 2007-02-26 |
| 1821183120 | Neil Mcdougald | Counselor | 10 Southard Street, Trenton, NJ 08609 | 2006-10-03 |
| 1780778399 | Catholic Charities | Counselor | 47 North Clinton Avenue, Trenton, NJ 08609 | 2006-10-03 |
| Find all providers in zip 08609 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376936641 | Rescue Mission of Trenton | Substance Abuse Rehabilitation Facility | 96 Carroll St, Trenton, NJ 08609-1008 | 2015-03-11 |
| 1295155851 | Royal Recovery Detox, LLC | Substance Abuse Rehabilitation Facility | 446 Bellevue Ave, Trenton, NJ 08618-4502 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
| 1982218228 | New Pathway Counseling Services | Substance Abuse Rehabilitation Facility | 20 Powers Dr, Paramus, NJ 07652-2911 | 2020-09-03 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1891318077 | The Shore Detox LLC | Substance Abuse Rehabilitation Facility | 30 W Jimmie Leeds Rd, Galloway, NJ 08205-9421 | 2020-05-22 |
| 1619598968 | Mountainside - Ramsey | Substance Abuse Rehabilitation Facility | 500 N Franklin Tpke Ste 304, Ramsey, NJ 07446-1160 | 2020-04-28 |
| 1184244691 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 223 Polk Ln, Bridgeton, NJ 08302-5904 | 2020-04-24 |
| 1922628502 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 101 Madison Ave Ste 205, Morristown, NJ 07960-7305 | 2020-04-23 |
| 1760002331 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 1930 Marlton Pike E Ste O77, Cherry Hill, NJ 08003-4204 | 2020-04-23 |
| 1396376018 | Cooper Center for Healing and Recovery, LLC | Substance Abuse Rehabilitation Facility | 761 Cuthbert Blvd, Cherry Hill, NJ 08002-3417 | 2020-01-31 |
| 1295395408 | Coleman Addiction Medicine, P.C. | Substance Abuse Rehabilitation Facility | 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RESCUE MISSION OF TRENTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.