BANCROFT NEUROHEALTH (NPI# 1043746746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043746746 |
| Entity Type | Organization |
| Organization Name | BANCROFT NEUROHEALTH |
| Other Organization Name | BANCROFT-LEON AVE |
| Practice Address |
506 Leon Ave Delran NJ 08075 |
| Mailing Address |
1255 Caldwell Rd Cherry Hill NJ 08034-3220 |
| Practice Telephone | 8007745516 |
| Mailing Telephone | 8563481181 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | JAMES P HARTMAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8563481181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH2383 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bancroft-Leon Ave | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329336 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Villinger Ave, Cinnaminson, NJ 08077-2934 | 2020-09-03 |
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1891325908 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 347 Walton Ave, Mount Laurel, NJ 08054-9579 | 2020-01-17 |
| 1891335139 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 993 Shadow Oaks Dr, Toms River, NJ 08753-3531 | 2020-01-15 |
| 1134762065 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Cedar Dr, Medford, NJ 08055-2322 | 2019-10-23 |
| 1932740883 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4104 Hamilton Dr, Voorhees, NJ 08043-3121 | 2019-10-02 |
| 1184187437 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3208 Avalon Ct, Voorhees, NJ 08043-4649 | 2019-04-12 |
| 1285194878 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1811 Kresson Rd, Cherry Hill, NJ 08003-2528 | 2019-03-21 |
| 1164998340 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Eugenia Dr, Medford, NJ 08055-2312 | 2018-10-16 |
| 1972080059 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hessian Way, Cherry Hill, NJ 08003-2615 | 2018-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANCROFT NEUROHEALTH, A NEW JERSEY NONPROFIT CORPORATION | 1255 Caldwell Rd, Cherry Hill, NJ 08034-3220 |
| Street Address |
506 LEON AVE |
| City | DELRAN |
| State | NJ |
| Zip Code | 08075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
| 1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
| 1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
| 1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
| 1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
| 1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
| 1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
| 1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
| 1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
| 1427140904 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | Rt 130 South and Tenby Chase Dr, Delran, NJ 08075 | 2006-09-29 |
| Find all providers in zip 08075 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124538954 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 178 Natalie Rd, Delran, NJ 08075-1364 | 2017-10-06 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1447792528 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Natalie Rd, Delran, NJ 08075-1360 | 2016-11-07 |
| 1457803660 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Yansick Dr, Delran, NJ 08075-1327 | 2016-11-04 |
| 1639549116 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Chestnut St, Delran, NJ 08075-1126 | 2015-09-28 |
| 1386014868 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wildflower Pl, Delran, NJ 08075-2874 | 2015-09-28 |
| 1700255213 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Wildflower Pl, Delran, NJ 08075-2874 | 2015-09-15 |
| 1477181675 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 168 Natalie Rd, Delran, NJ 08075-1363 | 2020-04-01 |
| 1720458201 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Foxglove Dr, Delran, NJ 08075-2869 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.