My Father'S House, Inc

LBN: My Father'S House, Inc
My Father'S House, Inc is an health care organization with primary practice located at 104 N King St , Gloucester City NJ 08030-1417. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. My Father'S House, Inc can be contacted via phone (856) 742-0900, or through Broderick, Miriam via phone (856) 742-0900.

Contact Information

Primary practice address
104 N King St Gloucester City NJ 08030-1417
Phone: (856) 742-0900
Fax: (856) 742-0811
Website:
Map and Directions
Authorized official contact:
Name: Broderick, Miriam LCADC, CCS
Phone: (856) 742-0900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1700088226
LBN Legal business name My Father'S House, Inc
DBA Doing business as
Authorized official Broderick, Miriam LCADC, CCS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Aug 1st, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700088226 NPPES
New Jersey MEDICAID 7601905

Popular Providers