Healthcare Provider Details

I. General information

NPI: 1962276188
Provider Name (Legal Business Name): 3 LITTLE BIRDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 RARITAN AVE STE 225A
HIGHLAND PARK NJ
08904-2442
US

IV. Provider business mailing address

75 RARITAN AVE STE 225A
HIGHLAND PARK NJ
08904-2442
US

V. Phone/Fax

Practice location:
  • Phone: 732-290-5903
  • Fax:
Mailing address:
  • Phone: 732-290-5903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JOSELYN MCINTOSH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 862-371-2957