Healthcare Provider Details

I. General information

NPI: 1891279162
Provider Name (Legal Business Name): NEW JERSEY RESPITE CARE PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GLENWOOD AVE STE 203
EAST ORANGE NJ
07017-1057
US

IV. Provider business mailing address

1095 MORRIS AVE STE 102
UNION NJ
07083-7170
US

V. Phone/Fax

Practice location:
  • Phone: 609-337-5447
  • Fax: 609-337-5021
Mailing address:
  • Phone: 609-337-5447
  • Fax: 609-337-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MARVA MCINTOSH
Title or Position: EXECUTIVE DIRECTOR/ OWNER
Credential:
Phone: 609-337-5447