Organization
EIHAB HUMAN SERVICES NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HEGAZY (CEO/EXECUTIVE DIRECTOR)
(718) 276-6101
Entity
Organization
Contact information
Practice address
210 W UNION AVE # B, BOUND BROOK, NJ 08805-1335
(718) 276-6101
Mailing address
16818 S CONDUIT AVE, JAMAICA, NY 11434-4806
(718) 687-2738
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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