Provider Demographics
NPI:1568967073
Name:EDUCATIONAL PARTNERSHIP FOR INCLUSIVE COMMUNITIES INC
Entity Type:Organization
Organization Name:EDUCATIONAL PARTNERSHIP FOR INCLUSIVE COMMUNITIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:F
Authorized Official - Last Name:GERHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:201-576-0600
Mailing Address - Street 1:238 N FARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3244
Mailing Address - Country:US
Mailing Address - Phone:201-576-0600
Mailing Address - Fax:201-576-0699
Practice Address - Street 1:135 GEERING TER
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4416
Practice Address - Country:US
Practice Address - Phone:201-576-0600
Practice Address - Fax:201-576-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child