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Contact Information

STANDARD RESIDENTIAL CARE LLC
92 BURNETT AVE APT 306
MAPLEWOOD, NJ07040-2984
 Phone: 862-684-0895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STANDARD RESIDENTIAL CARE LLC

NPI Number 1245836287
LBN Legal business name STANDARD RESIDENTIAL CARE LLC
Authorized official BEBYTHO TIMOTHE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2020
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
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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