Organization · NPI-2

Eihab Human Services New Jersey, INC.

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

NPI number1932581832

StatusActive

Last updated in NPPESJun 26, 2015

Details

NPI: 1932581832
Entity type: Organization (NPI-2)
Legal business name: Eihab Human Services New Jersey, INC.
Organization subpart: No
Enumeration date: Jun 26, 2015
Last updated: Jun 26, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
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	–	–
385H00000X	Respite Care	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Practice location

278 Lake Oak Pl
Brick, NJ 08723-5925

Phone 718-276-6101

Mailing address

16818 S Conduit Ave
Jamaica, NY 11434-4806

Authorized official

Ahmed Hegazy
Ceo/Executive Director
7182766101

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