100KIDS INC (NPI# 1457978942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457978942 |
| Entity Type | Organization |
| Organization Name | 100KIDS INC |
| Practice Address |
192 Clinton Ave Apt 3h Jersey City NJ 07304-1696 |
| Mailing Address |
3419 Irwin Ave Apt 2202 Bronx NY 10463-3753 |
| Practice Telephone | 8628233736 |
| Mailing Telephone | 6465437564 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MORGAN JADE DESAUSSURE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6465437564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
192 CLINTON AVE APT 3H |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-1696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508357872 | Courageous Community Counseling Services | Community/Behavioral Health | 260 Cator Ave, Jersey City, NJ 07305-2002 | 2018-05-22 |
| 1487185336 | One Step Forward LLC | Community/Behavioral Health | 119 Oxford Ave, Jersey City, NJ 07304-1611 | 2017-03-22 |
| 1235686932 | Alliance Wound Care | Community/Behavioral Health | 46 Lyon Ct, Jersey City, NJ 07305-5510 | 2016-09-09 |
| 1326494139 | Tru Intentions | Community/Behavioral Health | 86-88 Manhattan Ave, Jersey City, NJ 07307-3076 | 2016-05-11 |
| 1053719880 | Gmhc | Community/Behavioral Health | 343 8th St, Jersey City, NJ 07302-1829 | 2014-12-10 |
| 1851867576 | Urban Behavioral Health Services Corporation | Community/Behavioral Health | 134 Ocean Ave, Jersey City, NJ 07305-2559 | 2018-10-19 |
| 1215446596 | Youth Advocate Programs, Inc | Community/Behavioral Health | 35 Journal Sq, Jersey City, NJ 07306-4007 | 2017-09-29 |
| 1750745527 | Jump Ahead Pediatrics | Community/Behavioral Health | 1 Nardone Pl, Second Floor, Jersey City, NJ 07306-3514 | 2016-04-07 |
| 1922479989 | Social Work Practice for Resilience, LLC | Community/Behavioral Health | 26 Journal Sq, Suite 1005, Jersey City, NJ 07306-4102 | 2015-10-15 |
| 1821429960 | Catholic Charities of The Archdiocese of Newark | Community/Behavioral Health | 249 Virginia Ave, Jersey City, NJ 07304-1423 | 2013-11-27 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
Please comment or provide details below to improve the information on 100KIDS INC.
| 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.