Provider Demographics
NPI:1306169099
Name:FRIENDSHIP HOME SOLUTIONS OF NEW JERSEY
Entity type:Organization
Organization Name:FRIENDSHIP HOME SOLUTIONS OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PLANTINGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-365-4424
Mailing Address - Street 1:333 PLUS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-365-4424
Mailing Address - Fax:615-365-0998
Practice Address - Street 1:1440 HOW LN STE 2A
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4600
Practice Address - Country:US
Practice Address - Phone:732-626-5095
Practice Address - Fax:732-626-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0111700OtherLICENCE #