LEGACY TREATMENT SERIVCES, INC. (NPI# 1003314170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003314170 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERIVCES, INC. |
| Practice Address |
72 Hawthorne Ave East Orange NJ 07018-4002 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092675656 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | RONALD DAVIS (BILLING MANAGER) |
| Authorized Official Telephone | 6092675656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891292918 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 252 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1851898969 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 254 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1730686825 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 659 Eayrestown Rd, Lumberton, NJ 08048-3177 | 2018-04-06 |
| 1144728221 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 246 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-24 |
| 1578061644 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 123 Hillside Dr, Robbinsville, NJ 08691-3614 | 2018-01-24 |
| 1306344478 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 417 Smithburg Ct, Jackson, NJ 08527-4444 | 2018-01-24 |
| 1952809121 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 250 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-23 |
| 1518465764 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 208 Fairmount Rd, Long Valley, NJ 07853-3013 | 2018-01-23 |
| 1821505827 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 68 Culver Rd Ste 170, Monmouth Junction, NJ 08852-2820 | 2017-12-29 |
| 1255842589 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 25 Scotch Rd, Ewing, NJ 08628-2500 | 2017-10-13 |
| Street Address |
72 HAWTHORNE AVE |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861810434 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 72 Hawthorne Ave, East Orange, NJ 07018-4002 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162770 | Friends of Cyrus Inc | Psychiatric Residential Treatment Facility | 205 Hardenburg Ln, East Brunswick, NJ 08816-2417 | 2019-12-30 |
| 1730644725 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Dogwood Ct, Hackettstown, NJ 07840-4800 | 2019-02-05 |
| 1568927556 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 143 Meadows Rd, Lafayette, NJ 07848-3120 | 2019-02-05 |
| 1548725534 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Waterloo Rd, Stanhope, NJ 07874-3449 | 2019-02-05 |
| 1891250882 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Tall Oaks Rd, Somerset, NJ 08873-3033 | 2019-02-05 |
| 1154886141 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 15 Rockleigh Dr, Ewing, NJ 08628-1516 | 2019-02-05 |
| 1366907354 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Pritchard Ln, Sicklerville, NJ 08081-2013 | 2019-02-05 |
| 1114482007 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 270 Smithburg Rd, Manalapan, NJ 07726-8122 | 2019-02-05 |
| 1376008367 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 521 Townsbury Rd, Great Meadows, NJ 07838-2043 | 2019-02-05 |
| 1225593213 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 266 Jackson Mills Rd, Freehold, NJ 07728-8057 | 2019-02-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.