Provider Demographics
| NPI: | 1366718769 |
|---|---|
| Name: | PILLAR CARE CONTINUUM |
| Entity type: | Organization |
| Organization Name: | PILLAR CARE CONTINUUM |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | LINDA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PEPE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | CPA |
| Authorized Official - Phone: | 973-821-8107 |
| Mailing Address - Street 1: | 120 EAGLE ROCK AVE STE 290 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EAST HANOVER |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07936-3168 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 973-763-9900 |
| Mailing Address - Fax: | 973-763-9905 |
| Practice Address - Street 1: | 120 EAGLE ROCK AVE STE 290 |
| Practice Address - Street 2: | |
| Practice Address - City: | EAST HANOVER |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07936-3168 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 973-763-9900 |
| Practice Address - Fax: | 973-763-9905 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-03-29 |
| Last Update Date: | 2025-04-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 252Y00000X | Agencies | Early Intervention Provider Agency |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NJ | 0438324 | Medicaid |