PENNREACH (NPI# 1326552894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326552894 |
| Entity Type | Organization |
| Organization Name | PENNREACH |
| Practice Address |
1801 Egg Harbor Rd Lindenwold NJ 08021-1300 |
| Mailing Address |
18 S Main St Allentown NJ 08501-1610 |
| Practice Telephone | 7329634523 |
| Practice Fax Number | 6092594120 |
| Mailing Telephone | 7329684523 |
| Mailing Fax Number | 6092594120 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | PAULINE BAILO (DIRECTOR) |
| Authorized Official Telephone | 2154752401 |
| 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 | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1841845690 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Waker Avenue, Allentown, NJ 08501-0850 | 2019-08-08 |
| 1144875071 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 810, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1053966986 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 812, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1417502345 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 814, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1376198275 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 910, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1245885185 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 912, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1497300354 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 914, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1326693284 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1008, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1144875006 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1010, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| Street Address |
1801 EGG HARBOR RD |
| City | LINDENWOLD |
| State | NJ |
| Zip Code | 08021-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598830275 | Annemarie Lyles | Counselor | 1801 Egg Harbor Rd, Apt. 204, Lindenwold, NJ 08021-1300 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| 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 |
|---|---|---|---|---|
| 1023648342 | Caring Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Laurel Rd Unit 1010, Lindenwold, NJ 08021-6739 | 2020-01-26 |
| 1184270712 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Rd Apt Ac249, Lindenwold, NJ 08021-5946 | 2019-08-09 |
| 1417421082 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Rd Apt W189, Lindenwold, NJ 08021-5940 | 2019-01-17 |
| 1639679327 | Rem New Jersey Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Oak Ln, Lindenwold, NJ 08021-2313 | 2018-02-19 |
| 1336659176 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt E37, Lindenwold, NJ 08021-5908 | 2017-10-06 |
| 1982114724 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt E38, Lindenwold, NJ 08021-5908 | 2017-10-06 |
| 1225548068 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt E39, Lindenwold, NJ 08021-5908 | 2017-10-06 |
| 1134639974 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt E40, Lindenwold, NJ 08021-5908 | 2017-10-06 |
| 1235649070 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt J77, Lindenwold, NJ 08021-5913 | 2017-10-06 |
| 1417467259 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Laurel Rd Apt J80, Lindenwold, NJ 08021-5913 | 2017-10-06 |
| Find all providers in LINDENWOLD | ||||
| City | LINDENWOLD |
| Zip Code | 08021 |
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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.