LEGACY TREATMENT SERVICES, INC.


Address: 243 Pine St, Mount Holly, NJ 08060-2201
Phone: 6092883067

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 243 PINE ST
City MOUNT HOLLY
State NJ
Zip Code 08060-2201

Providers in the same location

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
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Providers in the same zip code

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
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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
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

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 MOUNT HOLLY
Zip Code 08060

Improve Information

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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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