PAKER AT THE PAVILION – NPI #1558549287
Clinic/Center

PAKER AT THE PAVILION is an AHC clinic located in HIGHLAND PARK, NJ. NPPES has assigned the NPI number 1558549287 to PAKER AT THE PAVILION on February 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PAKER AT THE PAVILION” is a dba name, the actual legal business name for this organization is PARKER HOME AND COMMUNITY BASED SERVICES INC. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 2 years ago on Jan 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAKER AT THE PAVILION below.

NPI Profile for
PARKER HOME AND COMMUNITY BASED SERVICES INC

NPI Number
1558549287
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARKER HOME AND COMMUNITY BASED SERVICES INC
Doing Business As (dba): PAKER AT THE PAVILION
Primary location
443 RIVER RD
HIGHLAND PARK, NJ 08904-1914
Phone: (732) 418-8614 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARD MATTHEWS
CFO
Phone: (732) 418-8614
Updated
Certification Date
Jan 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 NJ PENDING

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.