Healthcare Provider Details

I. General information

NPI: 1821894502
Provider Name (Legal Business Name): YAHWEH SOCIAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 EVERGREEN PL STE 3D
EAST ORANGE NJ
07018-2005
US

IV. Provider business mailing address

137 EVERGREEN PL STE 1A
EAST ORANGE NJ
07018-2007
US

V. Phone/Fax

Practice location:
  • Phone: 516-450-2207
  • Fax:
Mailing address:
  • Phone: 516-450-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: REKHIA FLOXY BRAIMAH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 516-450-2207