Provider Demographics
NPI:1285778951
Name:THE NORTH WARD CENTER, INC,
Entity type:Organization
Organization Name:THE NORTH WARD CENTER, INC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESSENIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALVAREZ- VERA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-481-6145
Mailing Address - Street 1:288 MOUNT PROSPECT AVE # 298
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-2008
Mailing Address - Country:US
Mailing Address - Phone:973-481-6145
Mailing Address - Fax:973-481-1573
Practice Address - Street 1:288 -298 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-2008
Practice Address - Country:US
Practice Address - Phone:973-481-6145
Practice Address - Fax:973-481-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
NJYG153X311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8642109Medicaid