THE DEVEREUX FOUNDATION


Address: 1175 Dehirsch Avenue, Apt A, Woodbine, NJ 08270
Phone: 8565996400

THE DEVEREUX FOUNDATION (NPI# 1205361839) 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) 1205361839
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 1175 Dehirsch Avenue
Apt A
Woodbine
NJ 08270
Mailing Address 286 Mantua Grove Road
West Deptford
NJ 08066
Practice Telephone 8565996400
Practice Fax Number 8565996404
Mailing Telephone 8565996400
Mailing Fax Number 8565996404
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE)
Authorized Official Telephone 8565996429
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 GH1962 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0399507 05

Other Provider/Organization Names

Other Name Type Code
Devereux Advanced Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760004568 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Greentree Rd, Sewell, NJ 08080-9354 2020-05-14
1700425287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 2019-12-31
1346759867 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 2017-09-27
1295261683 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 2017-05-04
1417482704 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 26 Aspen Hill, Deptford, NJ 08096 2017-04-25
1619402906 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 27 Aspen Hill, Deptford, NJ 08096 2017-04-25
1629503917 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 28 Aspen Hill, Deptford, NJ 08096 2017-04-25
1376078642 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 2017-04-25
1730614017 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 48 Skyline Drive, Sparta, NJ 07871 2017-04-25
1326573601 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 Heritage Court, Pennington, NJ 08534 2017-04-25

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations THE DEVEREUX FOUNDATION 444 Devereux Dr, Villanova, PA 19085
New York State Corporations THE DEVEREUX FOUNDATION 302 Washington Avenue Ext., Suite 3, Albany, New York 12203

Office Location

Street Address 1175 DEHIRSCH AVENUE
APT A
City WOODBINE
State NJ
Zip Code 08270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285168864 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Avenue, Apt B, Woodbine, NJ 08270 2017-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033545355 Matthew Ryan Newsome Specialist/Technologist 5 Lindsay Lane, Petersburg, NJ 08270 2013-09-18
1932347416 Nancy Marie Hansen Massage Therapist 210 Sumner Ave, Woodbine, NJ 08270 2009-01-22
1700919594 Woodbine Dental Pa Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-03-13
1992869234 Julia Lynn Hankerson Social Worker 534 Washington Ave, Woodbine, NJ 08270 2006-12-21
1255405569 Alan R. Soltys Internal Medicine De Hirsch Avenue, Woodbine, NJ 08270 2006-11-20
1467404251 Sandra L Russo Family Medicine 713 Dehirsch Ave, Woodbine, NJ 08270 2006-05-17
1710168778 Brenda Nathan Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-11-19
1700066115 Howard Epstein Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-11-14
1942489919 Jacques Nathan Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-10-26
1053743500 Bernette Harrison Massage Therapist 536 Washington Ave, Woodbine, NJ 08270-2025 2013-08-07
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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
1942862719 Community Quest Woodbine Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1449 Dehirsch Ave Apt 1, Woodbine, NJ 08270-2454 2019-07-02
1700307279 Community Quest, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1449 Dehirsch Ave Apt 9, Woodbine, NJ 08270-2454 2017-07-05
1285168864 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Avenue, Apt B, Woodbine, NJ 08270 2017-04-20
1467836619 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 288 Tyler Rd, Woodbine, NJ 08270-3620 2015-07-17
1205210440 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 45 Sutton Ln, Woodbine, NJ 08270-9542 2015-07-17
1902280159 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 174 Washington Ave, Woodbine, NJ 08270-3602 2015-07-17
1427438357 Community Quest Woodbine Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1449 Dehirsch Ave Apt 5, Woodbine, NJ 08270-2454 2015-06-05
1306182639 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 253 Fidler Rd, Woodbine, NJ 08270-8828 2012-12-13
1093183451 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 253 Fidler Rd, Woodbine, NJ 08270-8828 2015-09-02

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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Competitor

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City WOODBINE
Zip Code 08270

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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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