Provider Demographics
NPI: | 1508661398 |
---|---|
Name: | ADVORCARE |
Entity type: | Organization |
Organization Name: | ADVORCARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JEROME |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NJOKU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 609-456-2620 |
Mailing Address - Street 1: | 104 WOODLAWN AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | FLORENCE |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08518-1000 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 609-456-2620 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 104 WOODLAWN AVE |
Practice Address - Street 2: | |
Practice Address - City: | FLORENCE |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08518-1000 |
Practice Address - Country: | US |
Practice Address - Phone: | 609-456-2620 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-02-15 |
Last Update Date: | 2025-02-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | |
No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 385H00000X | Respite Care Facility | Respite Care | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 251E00000X | Agencies | Home Health | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |