Provider Demographics
NPI:1811029911
Name:VOLUNTEERS OF AMERICA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA
Other - Org Name:VOLUNTEERS OF AMERICA- APLAHA HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-827-2444
Mailing Address - Street 1:205 W MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3203
Mailing Address - Country:US
Mailing Address - Phone:732-827-2444
Mailing Address - Fax:
Practice Address - Street 1:278 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3318
Practice Address - Country:US
Practice Address - Phone:732-827-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2680320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8373809Medicaid