Healthcare Provider Details

I. General information

NPI: 1114710464
Provider Name (Legal Business Name): HARMONY INCLUSION A NJ NON PROFIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HILLSIDE AVENUE
ROXBURY TWP NJ
07836-9126
US

IV. Provider business mailing address

155 155 WILLOWBROOK BLVD STE 110 #6954
WAYNE NJ
07470
US

V. Phone/Fax

Practice location:
  • Phone: 862-218-4085
  • Fax:
Mailing address:
  • Phone: 862-218-4085
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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: MICHEAL SORBINO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 862-218-4085