GASTON ACHIDI BOMA (NPI# 1316592090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316592090 |
| Entity Type | Individual |
| Full Name | GASTON ACHIDI BOMA |
| Practice Address |
2201 S Clinton Ave Ste 2f South Plainfield NJ 07080-1473 |
| Practice Telephone | 9084624361 |
| Mailing Telephone | 9084624361 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2201 S CLINTON AVE STE 2F |
| City | SOUTH PLAINFIELD |
| State | NJ |
| Zip Code | 07080-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659713 | Achidimed LLC | Foster Care Agency | 2201 S Clinton Ave Ste 2f, South Plainfield, NJ 07080-1473 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271165 | Jersey Dental | General Practice | 4917 Stelton Road, South Plainfield, NJ 07080 | 2019-08-23 |
| 1841746179 | Swati Gupta | Physical Therapist | 547 East Celebration Way, South Plainfield, NJ 07080 | 2016-08-28 |
| 1649626474 | Dungarvin New Jersey, LLC-delaney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Delaney Ct, South Plainfield, NJ 07080 | 2016-05-11 |
| 1639542947 | Caringhouse Projects, Inc | Respite Care | 111 Jackson Avenue, South Plainfield, NJ 07080 | 2015-11-09 |
| 1861899932 | Joseph Njoroge Kimani | Nurse Practitioner | 123 Lexington Ave, South Plainfield, NJ 07080 | 2014-12-04 |
| 1134529738 | Brianna K. Carri | Physical Therapist | 4911 Stelton Rd, Suite 3, South Plainfield, NJ 07080 | 2014-09-02 |
| 1528312501 | Maritza Mgbako | Counselor | 9 Stacey Court, South Plainfield, NJ 07080 | 2012-10-30 |
| 1871843615 | Viraj Patel | Dermatology | 114 Lakeview Ave, South Plainfield, NJ 07080 | 2012-09-19 |
| 1538441027 | People With Purpose Inc. | Day Training, Developmentally Disabled Services | 137 Lee Place, South Plainfield, NJ 07080 | 2011-09-12 |
| 1962798728 | Ami Patel | Dentist | 3600 Park Ave, Suiten, South Plainfield, NJ 07080 | 2011-06-21 |
| Find all providers in zip 07080 | ||||
| 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 |
|---|---|---|---|---|
| 1053791780 | Keystone Community Living, Inc. | Day Training, Developmentally Disabled Services | 154 Front St, South Plainfield, NJ 07080-3402 | 2015-06-08 |
| 1538441027 | People With Purpose Inc. | Day Training, Developmentally Disabled Services | 137 Lee Place, South Plainfield, NJ 07080 | 2011-09-12 |
| 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 | SOUTH PLAINFIELD |
| Zip Code | 07080 |
Please comment or provide details below to improve the information on GASTON ACHIDI BOMA.
| 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.