MGM COMMUNITY SERVICES INC; NPI #1851803167

Contact Information

MGM COMMUNITY SERVICES INC

1056 BECKLEY DR
WILLIAMSTOWN, NJ 08094-8808

Phone: 856-885-2120
Fax: 856-885-2644
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Developmental Disabilities	261QD1600X
Community Health	261QC1500X
Community/Behavioral Health	251S00000X
Home Health	251E00000X	A4[11]	Home Health Agency
In Home Supportive Care	253Z00000X
Pastoral	101YP1600X
Supports Brokerage	251X00000X

Indicates primary specialty

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NPI Profile & details for MGM COMMUNITY SERVICES INC

NPI Number 1851803167

LBN Legal business name MGM COMMUNITY SERVICES INC

Authorized official KEMLEY WHITESIDE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2017

Last updated 10/29/2025 - About 7 months ago

Identifiers

Medicaid

0595985

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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