Avidd Community Services

LBN: Avidd Community Services
Avidd Community Services is an health care organization with primary practice located at 20 Circle Drive , Mt. Tabor NJ 07878. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Avidd Community Services can be contacted via phone (973) 664-1770, or through Mckeon, Terrence via phone (973) 886-1953.

Contact Information

Primary practice address
20 Circle Drive Mt. Tabor NJ 07878
Phone: (973) 664-1770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckeon, Terrence
Phone: (973) 886-1953

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1255945515
LBN Legal business name Avidd Community Services
DBA Doing business as
Authorized official Mckeon, Terrence
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2020
Last updated Sep 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255945515 NPPES
New Jersey MEDICAID 0530549

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