FOUR CORNERS COMMUNITY SERVICES (NPI# 1134772262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134772262 |
| Entity Type | Organization |
| Organization Name | FOUR CORNERS COMMUNITY SERVICES |
| Practice Address |
115 Rutgers St Belleville NJ 07109-2535 |
| Practice Telephone | 9733920430 |
| Mailing Telephone | 9733920430 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MS. AMA JEANNETTE BAFFOE (PRESIDENT /CEO) |
| Authorized Official Telephone | 9733920430 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
115 RUTGERS ST |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1376685081 | St. Clair Associated Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 3001 Save Rd, Belleville, IL 62221-7018 | 2007-02-12 |
| 1518337245 | Vintage Support Group, Inc. | Day Training, Developmentally Disabled Services | 900 Royal Heights Rd, Belleville, IL 62226-5457 | 2015-10-07 |
| 1104194851 | Cadets' Caare Corner, LLC | Day Training, Developmentally Disabled Services | 79 Preston St, Belleville, NJ 07109-2268 | 2011-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568781 | The Njecc | Day Training, Developmentally Disabled Services | 30-34 Okner Pkwy, Livingston, NJ 07039-1649 | 2020-11-04 |
| 1689274284 | Health Focused Living | Day Training, Developmentally Disabled Services | 713 Whalers Dr, Absecon, NJ 08201-2840 | 2020-11-01 |
| 1649877044 | Atlantic Center for Independent Living Inc. | Day Training, Developmentally Disabled Services | 160 S Pitney Rd Ste 3and4, Galloway, NJ 08205-9643 | 2020-10-08 |
| 1427665835 | Golden Years Adult Day Care Center | Day Training, Developmentally Disabled Services | 1225 Mcbride Ave Ste 208, Woodland Park, NJ 07424-3813 | 2020-09-29 |
| 1023624210 | The Arc of Essex County, Inc. | Day Training, Developmentally Disabled Services | 264 Passaic Ave Ste 2, Fairfield, NJ 07004-2531 | 2020-09-22 |
| 1962016436 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 25 Independence Dr, Lumberton, NJ 08048-2231 | 2020-09-02 |
| 1538773270 | All In 2gether LLC | Day Training, Developmentally Disabled Services | 1229 Haddonfield Berlin Rd, Voorhees, NJ 08043-4852 | 2020-09-01 |
| 1366055535 | Lds Partners In Care LLC | Day Training, Developmentally Disabled Services | 60 Nevada St Apt 206, Apt 206, Newark, NJ 07102-2539 | 2020-08-27 |
| 1922610583 | New Horizons In Autism, Inc. | Day Training, Developmentally Disabled Services | 1808 Rte 37 E, Toms River, NJ 08753-8257 | 2020-08-17 |
| 1356952451 | Eden Autism Services | Day Training, Developmentally Disabled Services | 411 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
Please comment or provide details below to improve the information on FOUR CORNERS COMMUNITY SERVICES.
| 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.