Provider Demographics
NPI:1750165478
Name:NOVELTY COMPASSIONATE SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:NOVELTY COMPASSIONATE SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OYINDAMOLA
Authorized Official - Middle Name:JANET
Authorized Official - Last Name:FALODUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-257-1294
Mailing Address - Street 1:3642 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2612
Mailing Address - Country:US
Mailing Address - Phone:609-913-7188
Mailing Address - Fax:609-571-1942
Practice Address - Street 1:3642 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-2612
Practice Address - Country:US
Practice Address - Phone:609-913-7188
Practice Address - Fax:609-571-1942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW LIFE GROUP NJ LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health