Healthcare Provider Details

I. General information

NPI: 1780740522
Provider Name (Legal Business Name): ADVANCE HOUSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 E MIDLAND AVE STE 2
PARAMUS NJ
07652-2934
US

IV. Provider business mailing address

64 E MIDLAND AVE STE 2
PARAMUS NJ
07652-2934
US

V. Phone/Fax

Practice location:
  • Phone: 201-498-9140
  • Fax: 201-498-9144
Mailing address:
  • Phone: 201-498-9140
  • Fax: 201-498-9144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN JAIME
Title or Position: PRESIDENT & CEO
Credential: LCSW
Phone: 201-498-9140