AVIDD COMMUNITY SERVICES (NPI# 1831710938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831710938 |
| Entity Type | Organization |
| Organization Name | AVIDD COMMUNITY SERVICES |
| Practice Address |
74 Village Grn Apt 26g Budd Lake NJ 07828-1379 |
| Mailing Address |
92 Broadway Ste 101 Denville NJ 07834-2733 |
| Practice Telephone | 9736641770 |
| Mailing Telephone | 9736641770 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | TERRENCE MCKEON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9738861953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0530549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945515 | Avidd Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Circle Drive, Mt. Tabor, NJ 07878 | 2020-09-03 |
| Street Address |
74 VILLAGE GRN APT 26G |
| City | BUDD LAKE |
| State | NJ |
| Zip Code | 07828-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114355195 | Eileen Sarah Heanue-bogue | Nurse Practitioner | 125 U.S. Route 46, Budd Lake, NJ 07828 | 2013-10-29 |
| 1700191673 | James R. Smith, M.d., P.C. | Family Medicine | 98 Rt 46 Village Green Annex, Budd Lake, NJ 07828 | 2010-08-16 |
| 1134442106 | Developmental Center for Children and Families | Occupational Therapist | 295 Route 46 East, Budd Lake, NJ 07828 | 2010-03-05 |
| 1700036498 | Kenneth Wayne Culver | Pediatrics | 2 Village Grn Apt A, Budd Lake, NJ 07828 | 2008-09-30 |
| 1275704025 | Mount Olive Township | Public Health or Welfare | 204 Flandersdrakestown Rd, Budd Lake, NJ 07828 | 2008-03-20 |
| 1730363128 | Lakeview Medical Associates, P.C. | Family Medicine | 125 U.S. Highway 46, Budd Lake, NJ 07828 | 2007-12-21 |
| 1851518708 | Dominick Volpe | Occupational Therapist | 20 Third Street, Budd Lake, NJ 07828 | 2007-04-20 |
| 1063549319 | Linda Wong | Physical Therapist | 141 Route 46e, Kessler Rehabilitation Center, Budd Lake, NJ 07828 | 2007-02-27 |
| 1447300231 | Jerome Steven Cohen | Dentist | 100 Route 46, Village Green Shopping Center, Budd Lake, NJ 07828 | 2007-01-12 |
| 1548326143 | Josette O'rourke | Social Worker | 100 Route 46 West, Village Green, Budd Lake, NJ 07828 | 2006-12-28 |
| Find all providers in zip 07828 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275033961 | Rem New Jersey Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41 Indian Spring Rd, Budd Lake, NJ 07828-1903 | 2018-02-19 |
| 1710486543 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Village Grn Apt P, Budd Lake, NJ 07828-1302 | 2018-02-07 |
| 1962901702 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Village Grn Apt K, Budd Lake, NJ 07828-1338 | 2018-02-07 |
| 1083113914 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Village Grn Apt K, Budd Lake, NJ 07828-1333 | 2018-02-06 |
| 1467979583 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Village Grn Apt G, Budd Lake, NJ 07828-1379 | 2017-08-29 |
| 1295252310 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Village Grn Apt L, Budd Lake, NJ 07828-1379 | 2017-08-29 |
| 1699292714 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Village Grn Apt P, Budd Lake, NJ 07828-1379 | 2017-08-29 |
| 1659898773 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Village Grn Apt R, Budd Lake, NJ 07828-1379 | 2017-08-29 |
| 1154848315 | The Arc/morris County Chapter (nj) Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Glenside Dr, Budd Lake, NJ 07828-1435 | 2017-08-28 |
| 1659822559 | Special Homes of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Village Grn Apt 40r, Budd Lake, NJ 07828-1379 | 2016-10-17 |
| Find all providers in BUDD LAKE | ||||
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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.