Healthcare Provider Details

I. General information

NPI: 1366803975
Provider Name (Legal Business Name): THE ARC OF SOMERSET COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 JILL CT BUILDING 15, DOOR 11
HILLSBOROUGH NJ
08844-1901
US

IV. Provider business mailing address

141 S MAIN ST
MANVILLE NJ
08835-1803
US

V. Phone/Fax

Practice location:
  • Phone: 908-431-0052
  • Fax: 908-431-0059
Mailing address:
  • Phone: 908-725-8544
  • Fax: 908-704-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAUREN PANARELLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 908-725-8544