RAFAEL MENDOZA


Address: 39 Fostertown Ln, Mullica Hill, NJ 08062-2205
Phone: 9179699147

RAFAEL MENDOZA (NPI# 1770051450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770051450
Entity Type Individual
Full Name RAFAEL MENDOZA
Practice Address 39 Fostertown Ln
Mullica Hill
NJ 08062-2205
Practice Telephone 9179699147
Mailing Telephone 9179699147
Enumeration Date 2018-11-11
Last Update Date 2018-11-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage Agencies

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Office Location

Street Address 39 FOSTERTOWN LN
City MULLICA HILL
State NJ
Zip Code 08062-2205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1639689102 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 116 Iredell Lane, Mullica Hill, NJ 08062 2017-10-10
1639697782 Kingsway Recovery LLC Counselor 124 Bridgeton Pike, Mullica Hill, NJ 08062 2017-09-08
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1114381399 Advoserv of New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 444 Fislerville Rd, South Harrison Twp, NJ 08062 2016-04-13
1053687574 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 524 Mullica Hill Rd, Harrison Township, NJ 08062 2012-03-29
1134491590 South Jersey Healthcare Clinic/Center 210 Tomlin Station Road, Mullica Hill, NJ 08062 2012-02-01
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Taxonomy Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

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]

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1629638838 Legendary Support Coordination Supports Brokerage 136 Queen Ave, Woodbury Heights, NJ 08097-1635 2019-06-19
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1821553116 Ernest Yeboah Supports Brokerage 4 Venus Rd, South Amboy, NJ 08879-2423 2019-01-31
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
1184116659 David James Antonini Jr. Supports Brokerage 100 Oswego Ave, Audubon, NJ 08106-2051 2018-05-31
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Competitor

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City MULLICA HILL
Zip Code 08062

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Dataset Information

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.

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