LEGACY TREATMENT SERIVCES, INC. (NPI# 1144728221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144728221 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERIVCES, INC. |
| Practice Address |
246 Pine St Mount Holly NJ 08060-2207 |
| 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 |
| 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 |
| 1932699410 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 561 Tilton Rd, Northfield, NJ 08225-1217 | 2018-05-10 |
| Street Address |
246 PINE ST |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952809121 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 250 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-23 |
| 1396214821 | Community Treatment Solutions | Psychiatric Residential Treatment Facility | 448 Parkview Dr, Mount Holly, NJ 08060-1253 | 2018-11-14 |
| 1366949489 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 243 Pine St, Mount Holly, NJ 08060-2201 | 2018-04-06 |
| 1205334398 | Community Treatment Solutions | Psychiatric Residential Treatment Facility | 448 Parkview Dr, Mount Holly, NJ 08060-1253 | 2018-01-24 |
| 1841798915 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 248 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-24 |
| 1770081846 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 215 Pine St, Mount Holly, NJ 08060-2201 | 2018-01-24 |
| 1801394986 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 243 Pine St, Mount Holly, NJ 08060-2201 | 2018-01-24 |
| 1639677644 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 243 Pine St, Mount Holly, NJ 08060-2201 | 2018-01-24 |
| Find all providers in MOUNT HOLLY | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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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.