=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629457817
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 21 PLUS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2015
-----------------------------------------------------
Last Update Date | 11/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1900 ROUTE 70 STE 12
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08759-4627
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-240-3118
-----------------------------------------------------
Fax | 732-240-3381
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1900 ROUTE 70 STE 12
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08759-4627
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-240-3118
-----------------------------------------------------
Fax | 732-240-3381
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | DIANE REGINA HUTTON-ROSE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 732-240-3118
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------