Provider Demographics
NPI:1285136671
Name:ZOPAB COMMUNITY HOMES OF NJ LLC
Entity type:Organization
Organization Name:ZOPAB COMMUNITY HOMES OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:OBURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-851-9436
Mailing Address - Street 1:9 CANTER DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3076
Mailing Address - Country:US
Mailing Address - Phone:973-851-9436
Mailing Address - Fax:
Practice Address - Street 1:9 CANTER DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08016-3076
Practice Address - Country:US
Practice Address - Phone:973-851-9436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0450229522253Z00000X, 310400000X, 320600000X, 385HR2060X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child