OUR HOUSE, INC. (NPI# 1548790249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548790249 |
| Entity Type | Organization |
| Organization Name | OUR HOUSE, INC. |
| Practice Address |
486 Boyden Ave Maplewood NJ 07040-3031 |
| Mailing Address |
76 Floral Ave New Providence NJ 07974-1511 |
| Practice Telephone | 9084648008 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| 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 |
486 BOYDEN AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1982268264 | Glavedia M Alexandre | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Oregon St, Maplewood, NJ 07040-3515 | 2019-04-23 |
| 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 |
| 1912422577 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 760 Valley St, Maplewood, NJ 07040-2610 | 2017-08-04 |
| 1457871170 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 1b, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1184144800 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 1c, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1538689252 | Arc of Essex | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 2a, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1124548847 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 2b, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1447770169 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 2c, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1477073146 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 3a, Maplewood, NJ 07040-1649 | 2017-06-23 |
| 1720508443 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Irvington Ave Unit 3b, Maplewood, NJ 07040-1649 | 2017-06-23 |
| Find all providers in MAPLEWOOD | ||||
Please comment or provide details below to improve the information on OUR HOUSE, 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.