Provider Demographics
NPI:1831974146
Name:FRIENDS CARE A NJ NONPROFIT ORGANIZATION
Entity type:Organization
Organization Name:FRIENDS CARE A NJ NONPROFIT ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/INCORPORATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HALEEMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GODFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-888-1424
Mailing Address - Street 1:26 ISABELLA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-2027
Mailing Address - Country:US
Mailing Address - Phone:862-272-7078
Mailing Address - Fax:
Practice Address - Street 1:26 ISABELLA AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-2027
Practice Address - Country:US
Practice Address - Phone:862-272-7078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities