Provider Demographics
NPI:1043994775
Name:THE ARC/MERCER INC.
Entity Type:Organization
Organization Name:THE ARC/MERCER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-406-0181
Mailing Address - Street 1:180 EWINGVILLE RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-2425
Mailing Address - Country:US
Mailing Address - Phone:609-643-5220
Mailing Address - Fax:
Practice Address - Street 1:242 ROUTE 156
Practice Address - Street 2:
Practice Address - City:YARDVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08620-1724
Practice Address - Country:US
Practice Address - Phone:609-643-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0469912Medicaid