A FAMILY FUN PROGRAM LLC – NPI #1124679360
Respite Care

A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

A FAMILY FUN PROGRAM LLC is a respite care facility located in WILLIAMSTOWN, NJ. NPPES has assigned the NPI number 1124679360 to A FAMILY FUN PROGRAM LLC on September 27, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 385HR2050X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care Camp

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 A FAMILY FUN PROGRAM LLC below.

NPI Profile for
A FAMILY FUN PROGRAM LLC

NPI Number
1124679360
Enumeration Date

(more than 6 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
A FAMILY FUN PROGRAM LLC
Primary location
2675 FRIES MILL RD
WILLIAMSTOWN, NJ 08094-3336
Phone: (973) 860-8552 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BERTHONY DOMINGUE
MANAGER
Phone: (973) 860-8552
Updated
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
385HR2050X
- Respite Care / Respite Care Camp (Primary)

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.