Provider Demographics
NPI:1518613744
Name:ENCEPTION HEALTH, LLC
Entity Type:Organization
Organization Name:ENCEPTION HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADVOCACY OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, CEN
Authorized Official - Phone:732-403-0773
Mailing Address - Street 1:64 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5502
Mailing Address - Country:US
Mailing Address - Phone:732-403-0773
Mailing Address - Fax:
Practice Address - Street 1:77 MILLTOWN RD STE C3
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2302
Practice Address - Country:US
Practice Address - Phone:908-858-7883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management