Hendricks House, Inc.

LBN: Hendricks House, Inc.
Hendricks House, Inc. is an health care organization with primary practice located at 542 N West Blvd , Vineland NJ 08360-2847. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Hendricks House, Inc. can be contacted via phone (856) 794-2443, or through Carter, Audrey via phone (856) 794-2443.

Contact Information

Primary practice address
542 N West Blvd Vineland NJ 08360-2847
Phone: (856) 794-2443
Fax: (856) 205-9277
Website:
Map and Directions
Authorized official contact:
Name: Carter, Audrey MSM, LCADC
Phone: (856) 794-2443

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1000007-07 New Jersey

Profile Details

NPI number 1922217322
LBN Legal business name Hendricks House, Inc.
DBA Doing business as
Authorized official Carter, Audrey MSM, LCADC
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 5th, 2014 - about 10 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 1922217322 NPPES
New Jersey MEDICAID 005515
New Jersey MEDICAID 7609507

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