Healthcare Provider Details

I. General information

NPI: 1366139313
Provider Name (Legal Business Name): HS&H OUTREACH SERVICES A NJ NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MAIN ST STE A
PATERSON NJ
07503-2619
US

IV. Provider business mailing address

900 MAIN ST STE A
PATERSON NJ
07503-2619
US

V. Phone/Fax

Practice location:
  • Phone: 908-943-6111
  • Fax:
Mailing address:
  • Phone: 908-943-6111
  • 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 Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: ESPERANZA L JENKINS
Title or Position: COORDINATOR
Credential:
Phone: 201-916-8279