Organization · NPI-2

Eihab Human Services New Jersey, INC.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Hackensack, NJ

NPI number1740661271
StatusActive
Last updated in NPPESJun 10, 2015

Details

NPI
1740661271
Entity type
Organization (NPI-2)
Legal business name
Eihab Human Services New Jersey, INC.
Organization subpart
No
Enumeration date
Jun 10, 2015
Last updated
Jun 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
315P00000X Intermediate Care Facility, Intellectual Disabilities––
320700000X Residential Treatment Facility, Physical Disabilities––
320800000X Community Based Residential Treatment Facility, Mental Illness––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
324500000X Substance Abuse Rehabilitation Facility––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––
385H00000X Respite Care––
251S00000X Community/Behavioral Health––
253Z00000X In Home Supportive Care––
251B00000X Case Management––
251C00000X Day Training, Developmentally Disabled Services––
261QD1600X Clinic/Center, Developmental Disabilities––

Practice location

215 Allen St
Hackensack, NJ 07601-1641

Phone 718-276-6101

Mailing address

16818 S Conduit Ave
Jamaica, NY 11434-4806

Authorized official

Ahmed Hegazy
Ceo/Executive Director
7182766101

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Hackensack, NJ