Provider Demographics
NPI:1962821215
Name:THE ARC OF BURLINGTON COUNTY, INC
Entity Type:Organization
Organization Name:THE ARC OF BURLINGTON COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVADOMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-531-0211
Mailing Address - Street 1:115 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1515
Mailing Address - Country:US
Mailing Address - Phone:609-531-0211
Mailing Address - Fax:609-386-2244
Practice Address - Street 1:115 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1515
Practice Address - Country:US
Practice Address - Phone:609-531-0211
Practice Address - Fax:609-386-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAT3025251C00000X
NJAT3025SN251C00000X
NJSP9004252Y00000X
NJCLS699253Z00000X
NJGH97320900000X
NJGH152320900000X
NJGH160320900000X
NJGH186320900000X
NJGH317320900000X
NJSA327320900000X
NJSA455320900000X
NJGH708320900000X
NJGH753320900000X
NJGH791320900000X
NJGH1648320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care