THEARC, WARREN COUNTY CHAPTER (NPI# 1073051025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073051025 |
| Entity Type | Organization |
| Organization Name | THEARC, WARREN COUNTY CHAPTER |
| Practice Address |
431 Hurley Dr Hackettstown NJ 07840-1835 |
| Mailing Address |
319 W Washington Ave Washington NJ 07882-2157 |
| Practice Telephone | 9088500236 |
| Practice Fax Number | 9088520784 |
| Mailing Telephone | 9086897525 |
| Mailing Fax Number | 9086894898 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MR. ROBERT ALEXANDER PRUZNICK (CEO) |
| Authorized Official Telephone | 9086897525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH171 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1710229778 | 05 | |
| NJ | 1508304395 | 05 | |
| NJ | 1962940742 | 05 |
| Street Address |
431 HURLEY DR |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1952828113 | The Arc/morris County Chapter (nj) Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 245 Mission Rd, Hackettstown, NJ 07840-5641 | 2017-08-28 |
| 1568982882 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Christopher St, Hackettstown, NJ 07840-1703 | 2017-06-27 |
| 1598285934 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Christopher St, Hackettstown, NJ 07840-1703 | 2017-06-27 |
| 1710407077 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Arthur Ter Apt E4, Hackettstown, NJ 07840-2371 | 2017-06-27 |
| 1205356649 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Arthur Ter Apt E5, Hackettstown, NJ 07840-2371 | 2017-06-27 |
| 1396265633 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Arthur Ter Apt C3, Hackettstown, NJ 07840-2369 | 2017-06-27 |
| 1114452174 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Arthur Ter, Apt. B12, Hackettstown, NJ 07840-2330 | 2017-04-27 |
| 1750816104 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Christopher St, Hackettstown, NJ 07840-1703 | 2017-04-24 |
| Find all providers in HACKETTSTOWN | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
Please comment or provide details below to improve the information on THEARC, WARREN COUNTY CHAPTER.
| 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.