Healthcare Provider Details

I. General information

NPI: 1356747521
Provider Name (Legal Business Name): LUTHERAN SOCIAL MINISTRIES OF NEW JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MANHATTAN DR
BURLINGTON NJ
08016-4119
US

IV. Provider business mailing address

3 MANHATTAN DR
BURLINGTON NJ
08016-4119
US

V. Phone/Fax

Practice location:
  • Phone: 609-386-7171
  • Fax: 609-386-7191
Mailing address:
  • Phone: 609-781-1379
  • Fax: 609-386-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number17LK15C
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number17LK15C
License Number StateNJ

VIII. Authorized Official

Name: MRS. COLLEEN FRANKENFIELD
Title or Position: PRESIDENT AND CEO
Credential: M.S., J.D.
Phone: 484-680-0612