=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750276937
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAX SOCIAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2025
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 491 MANALAPAN RD STE 7
-----------------------------------------------------
City | SPOTSWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08884-1891
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-207-8976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 491 MANALAPAN RD STE 7
-----------------------------------------------------
City | SPOTSWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08884-1891
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-207-8976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CHRISTOPHER AKHIBI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-207-8976
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 385HR2060X
-----------------------------------------------------
Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------