RAFAEL MENDOZA (NPI# 1770051450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251X00000X | Supports Brokerage | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780728873 | Rafael Orlando Mendoza | General Practice | 606 Tito Castro La Rambla Plaza, Suite 233, Ponce, PR 00730 | 2007-02-20 |
1790799930 | Rafael Enrique Mendoza | Anesthesiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-07-27 |
1992709687 | Rafael N Mendoza | Obstetrics & Gynecology | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2005-06-09 |
Street Address |
39 FOSTERTOWN LN |
City | MULLICA HILL |
State | NJ |
Zip Code | 08062-2205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881254308 | Kaplan & Tyson, LLC Dba Eye Associates | Durable Medical Equipment & Medical Supplies | 5 Myers Drive, Suite 101, Mullica Hill, NJ 08062 | 2019-06-17 |
1588165526 | Mullica Hill Family Dental, LLC | Dentist | 7 Myers Drive Unit A, Mullica Hill, NJ 08062 | 2018-02-26 |
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 |
1568998912 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 Fislerville Rd (richwood), Mullica Hill, NJ 08062 | 2017-05-04 |
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 |
1144592502 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062 | 2012-02-01 |
1760764898 | Inspira Medical Centers, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite A, Mullica Hill, NJ 08062 | 2011-09-14 |
Find all providers in zip 08062 |
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 |
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 |
Find all providers with the same taxonomy |
City | MULLICA HILL |
Zip Code | 08062 |
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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.