ETHAN AND THE BEAN A NEW JERSEY NON PROFIT CORPORATION


Address: 31 Fairfield Avenue, West Caldwell, NJ 07006
Phone: 9733039678

ETHAN AND THE BEAN A NEW JERSEY NON PROFIT CORPORATION (NPI# 1063984979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063984979
Entity Type Organization
Organization Name ETHAN AND THE BEAN A NEW JERSEY NON PROFIT CORPORATION
Practice Address 31 Fairfield Avenue
West Caldwell
NJ 07006
Mailing Address 174 Forest Avenue
West Caldwell
NJ 07006
Practice Telephone 9733039678
Mailing Telephone 9733039678
Enumeration Date 2018-12-18
Last Update Date 2018-12-18
Authorized Official Name MRS. PAMELA DONOVAN (PRESIDENT)
Authorized Official Telephone 9084035789
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers
N 173C00000X Reflexologist Other Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
N 374U00000X Home Health Aide Nursing Service Related Providers
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Office Location

Street Address 31 FAIRFIELD AVENUE
City WEST CALDWELL
State NJ
Zip Code 07006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083104228 A Plus Rehab LLC Physical Medicine & Rehabilitation 9 Bloomfield Ave, North Caldwell, NJ 07006 2018-05-14
1326556564 Salvatrice Rosalia Polizzotto Social Worker 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 2018-01-22
1750820452 Caldwell University Behavioral Analyst 120 Bloombfield Avenue, Caldwell, NJ 07006 2017-02-15
1790151116 Bankim Shah Internal Medicine 32 Wakefield Pl, Caldwell, NJ 07006 2015-08-19
1598157638 Lisa Santeramo Behavioral Analyst 309 Westville Avenue, West Caldwell, NJ 07006 2015-02-26
1871832774 Theodore K Chang Dentist 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 2013-02-12
1801132535 Booyoung Chung Pharmacist 560 Passiac Ave Cvs, West Caldwell, NJ 07006 2012-12-28
1750611802 Christopher Jones, Dds, P.a. Dentist 1129 Bloomfield Avenue, West Caldwell, NJ 07006 2010-01-12
1194976837 Arthur Edward Halprin Dentist 277 Bloomfield Ave., Caldwell, NJ 07006 2008-09-30
1336314509 Myrtle Herrin Manalo General Practice 39 East Greenbrook Road, North Caldwell, NJ 07006 2008-04-28
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255930343 Telisha Reams Day Training/Habilitation Specialist 280 Wayne Ave Apt 10, Paterson, NJ 07502-1736 2020-10-20
1912506338 Tara Jones Day Training/Habilitation Specialist 22 Gladstone Ave, Newark, NJ 07106-2208 2020-10-19
1750921805 Elizabeth Adekunle Day Training/Habilitation Specialist 120 Green St Apt 310, Newark, NJ 07105-6798 2020-01-07
1770129975 Essex Regional Educational Services Commission Day Training/Habilitation Specialist 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 2019-11-22
1578105185 Total Care Day Habilitation LLC Day Training/Habilitation Specialist 35 Highland Ave, Piscataway, NJ 08854-4813 2019-10-15
1366092710 New Beginning for Special Needs Inc Day Training/Habilitation Specialist 75 Stivers St, Cresskill, NJ 07626-1817 2019-09-18
1982253167 Mastery Curriculum Vitae Day Training/Habilitation Specialist 10 Mattimore St, Passaic, NJ 07055-7010 2019-09-10
1487200051 Roger Duckett Day Training/Habilitation Specialist 1035 Harding Hwy, Buena, NJ 08310-1533 2019-08-10
1851957294 Sovereign Care Services Day Training/Habilitation Specialist 1346 How Ln # 104, North Brunswick, NJ 08902-1725 2019-05-10
1053877837 Etta Conteh Day Training/Habilitation Specialist 250 Marlboro Rd, Old Bridge, NJ 08857-1401 2019-02-16
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Competitor

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City WEST CALDWELL
Zip Code 07006

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Dataset Information

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.

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