Covenant House Nj - Ac

LBN: Covenant House New Jersey, Inc.
Covenant House Nj - Ac is an health care organization with primary practice located at 330 Washington St , Newark NJ 07102-2630. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Covenant House New Jersey, Inc. can be contacted via phone (973) 286-3547, or through Wilson, Danny via phone (609) 348-4070.

Contact Information

Primary practice address
330 Washington St Newark NJ 07102-2630
Phone: (973) 286-3547
Fax: (973) 286-0190
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Danny
Phone: (609) 348-4070

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X New Jersey

Profile Details

NPI number 1669619052
LBN Legal business name Covenant House New Jersey, Inc.
DBA Doing business as Covenant House Nj - Ac
Authorized official Wilson, Danny
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2009
Last updated Jan 7th, 2009 - about 15 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 1669619052 NPPES
New Jersey MEDICAID 0161624

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