GRANDULAR SENIOR LIVING (NPI# 1831686443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831686443 |
| Entity Type | Organization |
| Organization Name | GRANDULAR SENIOR LIVING |
| Practice Address |
542 Berlin Cross Key Road Ste 3-270 Sicklerville NJ 08081 |
| Practice Telephone | 8568759608 |
| Mailing Telephone | 8568759608 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | MRS. DEBORAH DICKERSON (OWNER) |
| Authorized Official Telephone | 8568759605 |
| Authorized Official Credential | ED.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 0450254579 | NJ | Nursing Service Related Providers |
| Street Address |
542 BERLIN CROSS KEY ROAD STE 3-270 |
| City | SICKLERVILLE |
| State | NJ |
| Zip Code | 08081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771031 | Clack Associates, LLC. | Counselor | 603 Liberty Place, Sicklerville, NJ 08081 | 2019-10-13 |
| 1164901351 | Devereux Foundation | Day Training, Developmentally Disabled Services | 1601 - 1603 Sicklerville Road, Sicklerville, NJ 08081 | 2018-08-09 |
| 1467930990 | Brooke Schatzman | Lactation Consultant, Non-RN | 112 Hampton Court, Sicklerville, NJ 08081 | 2018-08-06 |
| 1942718465 | Community Dental of Sicklerville, P.C. | Dentist | 513 Cross Keys Road, Sicklerville, NJ 08081 | 2018-01-18 |
| 1831609304 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brandon Court, Sicklerville, NJ 08081 | 2017-10-10 |
| 1710402631 | Premiere Behavioral Supports | Behavior Technician | 404 Independence Blvd, Sicklerville, NJ 08081 | 2017-08-11 |
| 1285167346 | A Better Concept | Community/Behavioral Health | 20 Wildcat Branch Dr, Sicklerville, NJ 08081 | 2017-04-06 |
| 1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
| 1588012496 | Grace Musokae | Pharmacist | 412 Sicklerville Rd, Jolin's Pharmacy #103, Sicklerville, NJ 08081 | 2016-06-01 |
| 1932553922 | Jenny C Robertson | Counselor | 3111 Route 42 Ste B, Sicklerville, NJ 08081 | 2016-04-16 |
| Find all providers in zip 08081 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930343 | Telisha Reams | Day Training/Habilitation Specialist | 280 Wayne Ave Apt 10, Paterson, NJ 07502-1736 | 2020-10-20 |
| 1912506338 | Tara Jones | Day Training/Habilitation Specialist | 22 Gladstone Ave, Newark, NJ 07106-2208 | 2020-10-19 |
| 1750921805 | Elizabeth Adekunle | Day Training/Habilitation Specialist | 120 Green St Apt 310, Newark, NJ 07105-6798 | 2020-01-07 |
| 1770129975 | Essex Regional Educational Services Commission | Day Training/Habilitation Specialist | 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 | 2019-11-22 |
| 1578105185 | Total Care Day Habilitation LLC | Day Training/Habilitation Specialist | 35 Highland Ave, Piscataway, NJ 08854-4813 | 2019-10-15 |
| 1366092710 | New Beginning for Special Needs Inc | Day Training/Habilitation Specialist | 75 Stivers St, Cresskill, NJ 07626-1817 | 2019-09-18 |
| 1982253167 | Mastery Curriculum Vitae | Day Training/Habilitation Specialist | 10 Mattimore St, Passaic, NJ 07055-7010 | 2019-09-10 |
| 1487200051 | Roger Duckett | Day Training/Habilitation Specialist | 1035 Harding Hwy, Buena, NJ 08310-1533 | 2019-08-10 |
| 1851957294 | Sovereign Care Services | Day Training/Habilitation Specialist | 1346 How Ln # 104, North Brunswick, NJ 08902-1725 | 2019-05-10 |
| 1053877837 | Etta Conteh | Day Training/Habilitation Specialist | 250 Marlboro Rd, Old Bridge, NJ 08857-1401 | 2019-02-16 |
| Find all providers with the same taxonomy | ||||
| City | SICKLERVILLE |
| Zip Code | 08081 |
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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.