DUNGARVIN NEW JERSEY, LLC-ANTONIO (NPI# 1558717306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558717306 |
| Entity Type | Organization |
| Organization Name | DUNGARVIN NEW JERSEY, LLC-ANTONIO |
| Practice Address |
1066 Antonio Dr North Brunswick NJ 08902 |
| Mailing Address |
1543 State Route 27 Suite 24 Somerset NJ 08873-4015 |
| Practice Telephone | 7325650016 |
| Mailing Telephone | 7324637227 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MR. TIMOTHY MADDEN (CHAIRMAN OF THE BOARD & CEO) |
| Authorized Official Telephone | 6517895905 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUNGARVIN GROUP, INC. |
| 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 | 0494275 | 05 |
| Street Address |
1066 ANTONIO DR |
| City | NORTH BRUNSWICK |
| State | NJ |
| Zip Code | 08902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932749835 | Helping Hands Healthcare Inc. | Clinic/Center | Helpinghands Healthcare Inc., 219 Black-horse Lane, North Brunswick, NJ 08902 | 2020-01-09 |
| 1598304370 | Jenna Kong | Dietitian, Registered | 943b Village Drive West, North Brunswick, NJ 08902 | 2019-12-27 |
| 1811556533 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1364 Sioux Rd, North Brunswick, NJ 08902 | 2019-06-06 |
| 1629635495 | Sarina Mulleavey LLC | Social Worker | 547 Havard Place, North Brunswick, NJ 08902 | 2019-05-28 |
| 1679044846 | Dental Cosmetic Center of North Brunswick PC | Dentist | 1648 Route 130 North, Suite #5, North Brunswick, NJ 08902 | 2018-12-16 |
| 1023502127 | Dungarvin New Jersey, LLC-albury | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 82 Albury Way, North Brunswick, NJ 08902 | 2018-06-21 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1104349232 | Community Dental of North Brunswick | Dentist | 566 Milltown Road, North Brunswick, NJ 08902 | 2017-07-20 |
| 1174059539 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Riva Ave, North Brunswick, NJ 08902 | 2017-05-04 |
| 1336671684 | Pankti Dhaval Barot | Physical Therapist | 725 Perry Drive, North Brunswick, NJ 08902 | 2017-03-28 |
| Find all providers in zip 08902 | ||||
| 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 |
|---|---|---|---|---|
| 1235777061 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 Chrome St, North Brunswick, NJ 08902-3303 | 2019-12-11 |
| 1811556533 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1364 Sioux Rd, North Brunswick, NJ 08902 | 2019-06-06 |
| 1124587456 | Living In Hope | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1481 Osage Rd, North Brunswick, NJ 08902-1517 | 2019-03-16 |
| 1023502127 | Dungarvin New Jersey, LLC-albury | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 82 Albury Way, North Brunswick, NJ 08902 | 2018-06-21 |
| 1174059539 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Riva Ave, North Brunswick, NJ 08902 | 2017-05-04 |
| 1457720559 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Brighton Way, North Brunswick, NJ 08902-4277 | 2015-09-18 |
| 1477933018 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Taylor Pl, North Brunswick, NJ 08902-2657 | 2015-06-08 |
| 1316327596 | Developmental Disabilities Association of Nj Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 330 Washington Pl, North Brunswick, NJ 08902-3044 | 2015-06-03 |
| 1336619162 | Advance Divine Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1440 How Lane, Suite 2a, North Brunswick, NJ 08902 | 2018-12-05 |
| 1104328483 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1920 7th Street, North Brunswick, NJ 08902 | 2018-03-02 |
| Find all providers in NORTH BRUNSWICK | ||||
| City | NORTH BRUNSWICK |
| Zip Code | 08902 |
Please comment or provide details below to improve the information on DUNGARVIN NEW JERSEY, LLC-ANTONIO.
| 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.