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NPI 1134723091ActiveOrganization· Voluntary or Charitable· Clementon, NJ

Voluntary or Charitable in Clementon, New Jersey, registered in NPPES in November 2020. The authorized official on file is Raytia Ellis, Ceo/Founder/Owner.

Overview

NPI1134723091
StatusActive
Entity typeOrganization
NPI issuedNov 22, 2020
Last updated in NPPESApr 21, 2023
Certified by providerApr 21, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Voluntary or Charitable Primary251V00000X——
Meals174200000X——
Day Training, Developmentally Disabled Services251C00000X——
Nursing Care251J00000X——
Community/Behavioral Health251S00000X——
Supports Brokerage251X00000X——
In Home Supportive Care253Z00000X——
Home Delivered Meals332U00000X——
Non-emergency Medical Transport (VAN)343900000X——
Private Vehicle347C00000X——
Transportation Broker347E00000X——
Respite Care385H00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years