FOUR WALLS THE 4WALLS LLC (NPI# 1811359060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811359060 |
| Entity Type | Organization |
| Organization Name | FOUR WALLS THE 4WALLS LLC |
| Other Organization Name | 4WALLS |
| Practice Address |
2511 Hamilton Dr Voorhees NJ 08043-2642 |
| Mailing Address |
Po Box 201 Somerdale NJ 08083-0201 |
| Practice Telephone | 8566506556 |
| Mailing Telephone | 8566506556 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |
| Authorized Official Name | MR. JASON ALI BRICE SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8566506556 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0400647708 | NJ | Agencies |
| Other Name | Type Code |
|---|---|
| 4WALLS | Other Name - Individual/Organization |
| Street Address |
2511 HAMILTON DR |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801335310 | The 4walls Foundation | Community/Behavioral Health | 2511 Hamilton Dr, Voorhees, NJ 08043-2642 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558374 | Modern Intervention Strategies | Community/Behavioral Health | 81 Bunning Dr, Voorhees, NJ 08043-4162 | 2020-04-29 |
| 1326691411 | Functional Behavior Interventions | Community/Behavioral Health | 2114 Sandra Rd, Voorhees, NJ 08043-2069 | 2019-07-18 |
| 1861750168 | Generations Inc. | Community/Behavioral Health | 113 White Horse Rd, Suite 5, Voorhees, NJ 08043 | 2012-04-25 |
| 1891837597 | Center for Family Services, Inc. | Community/Behavioral Health | 108 Somerdale Rd, Voorhees, NJ 08043-1901 | 2007-02-12 |
| 1043376510 | Total Family Solutions, LLC | Community/Behavioral Health | 221 Laurel Rd Ste 102, Voorhees, NJ 08043-8301 | 2006-12-29 |
| 1528592953 | Total Family Solutions, LLC | Community/Behavioral Health | 221 Laurel Rd Ste 102, Voorhees, NJ 08043-8301 | 2017-04-12 |
| 1801335310 | The 4walls Foundation | Community/Behavioral Health | 2511 Hamilton Dr, Voorhees, NJ 08043-2642 | 2017-02-16 |
| 1497203012 | Center for Family Services | Community/Behavioral Health | 108 Somerdale Rd, Voorhees, NJ 08043-1901 | 2016-09-12 |
| 1760875314 | Center for Family Services, Inc. | Community/Behavioral Health | 108 Somerdale Rd, Voorhees, NJ 08043-1901 | 2015-03-06 |
| 1033413711 | Partnership for Successful Living Inc | Community/Behavioral Health | 221 Laurel Rd, Suite 300, Voorhees, NJ 08043-2330 | 2011-01-10 |
| Find all providers in VOORHEES | ||||
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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.