Provider Demographics
NPI:1013395458
Name:PILLAR CARE CONTINUUM
Entity Type:Organization
Organization Name:PILLAR CARE CONTINUUM
Other - Org Name:PILLAR CARE CONTINUUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-821-8107
Mailing Address - Street 1:120 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3158
Mailing Address - Country:US
Mailing Address - Phone:973-763-9900
Mailing Address - Fax:973-763-9905
Practice Address - Street 1:120 EAGLE ROCK AVE STE 290
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3168
Practice Address - Country:US
Practice Address - Phone:973-763-9900
Practice Address - Fax:973-763-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0479268Medicaid