Provider Demographics
NPI:1932594975
Name:SPANISH SPEAKING PEOPLES' COMMUNITY CENTER, INC.
Entity type:Organization
Organization Name:SPANISH SPEAKING PEOPLES' COMMUNITY CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-697-2967
Mailing Address - Street 1:303 SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08326-1521
Mailing Address - Country:US
Mailing Address - Phone:856-697-2967
Mailing Address - Fax:856-697-0061
Practice Address - Street 1:303 SUMNER ST
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08326-1521
Practice Address - Country:US
Practice Address - Phone:856-697-2967
Practice Address - Fax:856-697-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00446700251300000X, 251B00000X, 251C00000X, 251K00000X, 251V00000X, 253Z00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1780078824Medicaid