Provider Demographics
NPI:1679222673
Name:PURPOSE HUMAN SERVICES
Entity Type:Organization
Organization Name:PURPOSE HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:VERA
Authorized Official - Last Name:GOERGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-213-8692
Mailing Address - Street 1:91 RIDGEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4263
Mailing Address - Country:US
Mailing Address - Phone:732-213-8692
Mailing Address - Fax:
Practice Address - Street 1:91 RIDGEWOOD WAY
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4263
Practice Address - Country:US
Practice Address - Phone:732-213-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty