THE DEVEREUX FOUNDATION


Address: 1014 Palisade Avenue, Teaneck, NJ 07666
Phone: 8565996400

THE DEVEREUX FOUNDATION (NPI# 1356875934) 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) 1356875934
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 1014 Palisade Avenue
Teaneck
NJ 07666
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 GH682 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 1014 PALISADE AVENUE
City TEANECK
State NJ
Zip Code 07666

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265047096 Erica Marie Edmondson Massage Therapist 780 New Bridge Rd., Teaneck, NJ 07666 2020-09-09
1609489772 Bushra Ali Specialist/Technologist, Other 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 2020-08-28
1043870108 Etti Miriram Hochberg Schaap Social Worker Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 2019-06-19
1003309428 Holy Name Medical Center Inc Pharmacy 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 2018-06-11
1619494150 Synergy Homecare of Bergen County In Home Supportive Care 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 2017-08-25
1811419278 Genara O Ortiz Specialist 195 Sherman Ave., Teaneck, NJ 07666 2017-07-07
1689103061 Carmeliza Ronquillo Gonzalo Specialist 836 Williams Avenue, Teaneck, NJ 07666 2017-06-08
1902358427 Tamar Danzger Social Worker 530 Ogden Ave, Teaneck, NJ 07666 2016-11-01
1376093724 Walgreen Co Durable Medical Equipment & Medical Supplies 520 Cedar Ln, Teaneck, NJ 07666 2016-10-10
1760937866 Alison Elizabeth Dripchak Physician Assistant 741 Teaneck Road, Suite B, Teaneck, NJ 07666 2016-08-18
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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
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
1558983155 Women's League Community Residences, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 265 Cedar Ln Fl 2, Teaneck, NJ 07666-3444 2020-05-18
1649734021 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1495 E Terrace Cir Apt 2, Teaneck, NJ 07666-5224 2019-01-30
1992217798 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 118 Ayers Ct Apt 1a, Teaneck, NJ 07666-5129 2017-11-02
1871002873 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 231 Hillside Ave, Teaneck, NJ 07666-4010 2017-09-22
1518492792 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Ayers Ct Apt 1a, Teaneck, NJ 07666-5133 2017-04-26
1225563588 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 71 Ayers Ct, Apt 1b, Teaneck, NJ 07666-5145 2017-04-25
1457886004 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1390 Hill St, Apt 1b, Teaneck, NJ 07666-5123 2017-04-20
1134653736 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 134 Pinewood Pl, Teaneck, NJ 07666-4921 2017-04-20
1205361870 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1476 W Terrace Cir, Apt 2, Teaneck, NJ 07666-5230 2017-04-20
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City TEANECK
Zip Code 07666

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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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