OUR HOUSE, INC. (NPI# 1457731143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457731143 |
| Entity Type | Organization |
| Organization Name | OUR HOUSE, INC. |
| Practice Address |
188 Mount Airy Rd Basking Ridge NJ 07920-2045 |
| Mailing Address |
76 Floral Ave New Providence NJ 07974-1511 |
| Practice Telephone | 9084648008 |
| Mailing Telephone | 9084648008 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | MICHELE DELCORSANO (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9084648008 |
| 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 | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0479179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322546 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Lafayette Ln, Basking Ridge, NJ 07920-2506 | 2017-12-20 |
| 1902316771 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Boulevard Apt 2, Westfield, NJ 07090-3208 | 2017-10-06 |
| 1285144055 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 486 Boyden Ave Apt 2, Maplewood, NJ 07040-3031 | 2017-10-06 |
| 1811407687 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1470 Burnet Ave Apt 2, Union, NJ 07083-4246 | 2017-10-06 |
| 1851801609 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 349 Trotting Rd Apt 2, Union, NJ 07083-8017 | 2017-10-06 |
| 1053830604 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 881 West Ave, Port Reading, NJ 07064 | 2017-09-14 |
| 1720502453 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 390 Morris Ave Apt 3, Summit, NJ 07901-4721 | 2017-08-03 |
| 1184148819 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 390 Morris Ave Apt 31, Summit, NJ 07901-4719 | 2017-08-03 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1952824237 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Park Ave Apt 205, Summit, NJ 07901-4906 | 2017-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | OUR HOUSE, INC. | Dorothy A Payne, 182 Eldridge St, Manchester, CT 06040 |
| Street Address |
188 MOUNT AIRY RD |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| 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 |
|---|---|---|---|---|
| 1124507694 | Our House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 45 E Craig St, Basking Ridge, NJ 07920-1137 | 2018-08-07 |
| 1003322546 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Lafayette Ln, Basking Ridge, NJ 07920-2506 | 2017-12-20 |
| 1831619675 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Vail Ter, Basking Ridge, NJ 07920-1839 | 2017-06-22 |
| 1265962526 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Mount Airy Rd, Basking Ridge, NJ 07920-2066 | 2017-06-19 |
| 1619404357 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Flintlock Ct, Basking Ridge, NJ 07920-2108 | 2017-05-12 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1568822054 | Our House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Whitenack Rd, Basking Ridge, NJ 07920-2052 | 2016-02-26 |
| 1255797817 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Evergreen Pl, Basking Ridge, NJ 07920-1721 | 2016-01-12 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1053895672 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 S Maple Ave, Basking Ridge, NJ 07920-1280 | 2018-09-19 |
| Find all providers in BASKING RIDGE | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
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| 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.