INTAKE, LLC (NPI# 1629490586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629490586 |
| Entity Type | Organization |
| Organization Name | INTAKE, LLC |
| Practice Address |
115 River Rd Suite 201 Edgewater NJ 07020-1034 |
| Practice Telephone | 2013664155 |
| Mailing Telephone | 2013664155 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | MR. KOUROSH K MORADMAND (SENIOR DIRECTOR) |
| Authorized Official Telephone | 9374226038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Street Address |
115 RIVER RD SUITE 201 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407963887 | David Podell | Chiropractor | 115 River Rd, Suite 1032 3rd Floor Bldg 10, Edgewater, NJ 07020-1034 | 2006-08-23 |
| 1659780955 | Hudson Bergen Medical Associates LLC | Physical Medicine & Rehabilitation | 115 River Rd, Bldg 9-d, Edgewater, NJ 07020-1034 | 2014-08-12 |
| 1376730325 | Alexander Garger | Radiology | 115 River Rd, Edgewater, NJ 07020-1034 | 2007-10-03 |
| 1659432540 | Germaine Anita Griswold | Psychologist | 115 River Rd, Edgewater, NJ 07020-1034 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337214 | Assuring Support Services | Supports Brokerage | 50 Shire Ct, Somerdale, NJ 08083-1255 | 2020-05-11 |
| 1841819737 | Caring Hands Staffing | Supports Brokerage | 700 W Browning Rd # D1014, Collingswood, NJ 08107-1615 | 2020-04-11 |
| 1629638838 | Legendary Support Coordination | Supports Brokerage | 136 Queen Ave, Woodbury Heights, NJ 08097-1635 | 2019-06-19 |
| 1225591944 | Work-4-all | Supports Brokerage | 12 Normans Ford Dr, Sicklerville, NJ 08081-5647 | 2019-04-09 |
| 1821553116 | Ernest Yeboah | Supports Brokerage | 4 Venus Rd, South Amboy, NJ 08879-2423 | 2019-01-31 |
| 1770051450 | Rafael Mendoza | Supports Brokerage | 39 Fostertown Ln, Mullica Hill, NJ 08062-2205 | 2018-11-11 |
| 1235604414 | Global Care New Jersey LLC | Supports Brokerage | 58 Concord Blvd, Sicklerville, NJ 08081-9642 | 2018-10-03 |
| 1447735683 | Absolute Advanced Care | Supports Brokerage | 56 Bloomingdale Ave, Garfield, NJ 07026-3421 | 2018-10-02 |
| 1235616608 | Coker D Taylor IIi | Supports Brokerage | 48 Normandy Ln, Willingboro, NJ 08046-1308 | 2018-07-27 |
| 1306339882 | Frontier Travel LLC | Supports Brokerage | 190 N Park St # 2, East Orange, NJ 07017-1800 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
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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.