LEGACY TREATMENT SERVICES, INC. (NPI# 1417329442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417329442 |
Entity Type | Organization |
Organization Name | LEGACY TREATMENT SERVICES, INC. |
Practice Address |
243 Pine St Mount Holly NJ 08060-2201 |
Mailing Address |
1289 Route 38 Suite #203 Hainesport NJ 08036-2730 |
Practice Telephone | 6092883067 |
Practice Fax Number | 6092651895 |
Mailing Telephone | 6092883067 |
Mailing Fax Number | 6092651895 |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |
Authorized Official Name | BETTY GARRISON (CFO) |
Authorized Official Telephone | 6092883067 |
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 | NJ | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
1831757376 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 210 Route Us 9 S Ste 202, Marmora, NJ 08223-1271 | 2019-05-30 |
1023568524 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2016-10-07 |
1437602497 | Legacy Treatment Services, Inc. | In Home Supportive Care | 1289 Route 38 West, Suite #203, Hainesport, NJ 08036-2720 | 2016-07-26 |
1588020580 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 7 Quaker Hill Dr, Pittstown, NJ 08867-4026 | 2016-01-06 |
1003281924 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1618 W Front St, Lincroft, NJ 07738-1124 | 2015-12-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
Street Address |
243 PINE ST |
City | MOUNT HOLLY |
State | NJ |
Zip Code | 08060-2201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558472977 | Mohammed Nazrul Islam | Psychiatry & Neurology | 243 Pine St, Mount Holly, NJ 08060-2201 | 2006-08-31 |
1366949489 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 243 Pine St, Mount Holly, NJ 08060-2201 | 2018-04-06 |
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 |
1710397799 | Union Association of The Children's Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2014-04-30 |
1891047072 | Union Association of The Children's Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2012-10-11 |
1265691893 | Union Association of The Children's Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2008-06-09 |
1992964027 | Union Association of The Childrens Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2008-06-04 |
1619136744 | Union Association of The Childrens Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2008-06-04 |
1336308477 | Union Association of The Childrens Home of Burlington County | Residential Treatment Facility, Emotionally Disturbed Children | 243 Pine St, Mount Holly, NJ 08060-2201 | 2008-06-04 |
Find all providers in the same location |
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 | 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 |
---|---|---|---|---|
1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
1710367347 | Personalized Independent Living Opporuntities & Training Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Regency Dr, Mount Holly, NJ 08060-1356 | 2015-06-09 |
1235510801 | Personalized Independent Living Opporuntities & Training Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Parliament Dr, Mount Holly, NJ 08060-1376 | 2015-06-09 |
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 |
Find all providers with the same taxonomy |
City | MOUNT HOLLY |
Zip Code | 08060 |
Please comment or provide details below to improve the information on LEGACY TREATMENT SERVICES, INC..
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.