1 HENLUCY HEALTH SYSTEM — NPI 1245123025 (Licensed & Credentialed Case Management in LIVINGSTON, NJ)

CMS-1500 Box 24J / 33a • NPI

1245123025

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251B00000X

Licensed & Credentialed Case Management

Box 32 Service Location & ZIP+4

615 W MOUNT PLEASANT AVE STE 8, LIVINGSTON, NJ, 07039-1620

✓ 9-Digit EDI 837 ZIP+4 (07039-1620)

Practice Phone & Referral Fax

(973) 901-8605

Fax: (862) 930-6689

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245123025 (1 HENLUCY HEALTH SYSTEM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245123025` (NPI-2 Organization / Facility)
Provider / Legal Name	1 HENLUCY HEALTH SYSTEM
Plain-English Specialty	Licensed & Credentialed Case Management NUCC Code: `251B00000X` (Case Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	615 W MOUNT PLEASANT AVE STE 8, LIVINGSTON, NJ, 07039-1620
Practice Telephone / Fax	Tel: (973) 901-8605 \| Fax: (862) 930-6689
Administrative Mailing Address	615 W MOUNT PLEASANT AVE STE 8, LIVINGSTON, NJ, 07039-1620
Enumeration & Last Sync	Enumerated: 2025-05-31 \| CMS Record Updated: 2025-05-31
Authorized Official	OLAPEMI OBOLANLE (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

615 W MOUNT PLEASANT AVE STE 8, LIVINGSTON, NJ, 07039-1620

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Plain-English Taxonomy & CMS Crosswalk (251B00000X)

What Does Taxonomy Code 251B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251B00000X translates to:
"Licensed & Credentialed Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1 HENLUCY HEALTH SYSTEM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`251X00000X` — Supports Brokerage Plain English: Licensed & Credentialed Supports Brokerage	State: N/A \| License: `Verified` \| Primary: Secondary
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: N/A \| License: `Verified` \| Primary: Secondary
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	State: N/A \| License: `Verified` \| Primary: Secondary
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1 HENLUCY HEALTH SYSTEM (NPI #1245123025)