EASTERN CHRISTIAN CHILDREN'S RETREAT


Address: 148 Wyckoff Avenue, Waldwick, NJ 07463
Phone: 2018575078

EASTERN CHRISTIAN CHILDREN'S RETREAT (NPI# 1205291176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205291176
Entity Type Organization
Organization Name EASTERN CHRISTIAN CHILDREN'S RETREAT
Practice Address 148 Wyckoff Avenue
Waldwick
NJ 07463
Mailing Address 700 Mountain Ave
Wyckoff
NJ 07481-1047
Practice Telephone 2018575078
Mailing Telephone 2018488005
Enumeration Date 2015-12-21
Last Update Date 2015-12-21
Authorized Official Name JAYNE PRESS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2018488005
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH2162 NJ Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932752847 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200 W Crescent Ave, Allendale, NJ 07401-1542 2019-07-19
1699292631 Eastern Christian Children's Retreat Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 700 Mountain Ave., Wyckoff, NJ 07481-1047 2017-08-29
1649702010 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Rockledge Rd, Hawthorne, NJ 07506 2017-04-03
1447782164 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 135 W Crescent Ave, Allendale, NJ 07401-1503 2017-03-31
1942686167 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1209 Belmont Ave, North Haledon, NJ 07508-2805 2015-08-11
1760868988 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 832 Mountain Ave, Wyckoff, NJ 07481-1061 2015-08-11
1851777072 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 644 Goffle Hill Rd, Hawthorne, NJ 07506-3038 2015-08-11
1821474222 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 98 Surrey Pl, Hawthorne, NJ 07506-3134 2015-08-07
1164808572 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 116 Hillside Ave, Midland Park, NJ 07432-1700 2015-08-07
1316323710 Eastern Christian Children's Retreat Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 277 N Haledon Ave, North Haledon, NJ 07508-2767 2015-08-07

Office Location

Street Address 148 WYCKOFF AVENUE
City WALDWICK
State NJ
Zip Code 07463

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104384460 Life Opportunities Unlimited Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 28 Cleveland Ave, Waldwick, NJ 07463 2019-03-06
1285105403 Kristen Marie Forman Social Worker The Koch Center, P.C., 71 Franklin Tpke, Ste. 8, Waldwick, NJ 07463 2018-12-16
1083123970 Emily Navarro Dietitian, Registered 26 Cleveland Ave, Waldwick, NJ 07463 2017-09-24
1760916340 Sensory Taekwondo of Waldwick Behavioral Analyst 140 Hopper Ave, Waldwick, NJ 07463 2017-04-20
1225456593 Mina Hanna Podiatrist 171 Franklin Tpke Ste 200, Waldwick, NJ 07463 2014-04-02
1811282569 Marion Elaine Troise Massage Therapist 3-4 Vernon Ct., Waldwick, NJ 07463 2011-06-10
1154595197 Sports Medicine Center of Bergen, Pa Physical Therapist 136 Hopper Ave., Waldwick, NJ 07463 2008-04-22
1326223777 Raymond M Younghans Physical Therapist 136 Hopper Avenue, Waldwick, NJ 07463 2008-01-04
1841412228 Armi Aura D Hernandez Physical Therapist 171 North Franklin Tpke., Waldwick, NJ 07463 2007-05-03
1720102239 Diane Stark Suda Social Worker 10 Franklin Turnpike, Second Floor, Waldwick, NJ 07463 2007-03-19
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104384460 Life Opportunities Unlimited Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 28 Cleveland Ave, Waldwick, NJ 07463 2019-03-06

Providers in the same taxonomy and state

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
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City WALDWICK
Zip Code 07463

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Dataset Information

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.

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