GRACE COMMUNITY DEVELOPMENT CENTER (NPI# 1558905380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558905380 |
| Entity Type | Organization |
| Organization Name | GRACE COMMUNITY DEVELOPMENT CENTER |
| Practice Address |
100 Melville Ln Willingboro NJ 08046-2912 |
| Practice Telephone | 6096788266 |
| Mailing Telephone | 6096788266 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | MR. JOSEPH FRANK BLOUNT III (CEO) |
| Authorized Official Telephone | 6096788266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
100 MELVILLE LN |
| City | WILLINGBORO |
| State | NJ |
| Zip Code | 08046-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
| 1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
| 1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
| 1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
| 1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
| 1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
| 1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
| Find all providers in zip 08046 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| 1811460165 | Eva's Village, Inc. | Clinic/Center | 20 Jackson Street, Paterson, NJ 07501-2815 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | WILLINGBORO |
| Zip Code | 08046 |
Please comment or provide details below to improve the information on GRACE COMMUNITY DEVELOPMENT CENTER.
| 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.