ELWYN NEW JERSEY (NPI# 1457910002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457910002 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Practice Address |
303 Williamson Ln Mullica Hill NJ 08062-4409 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8139 |
| Practice Telephone | 8567945300 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MR. HUSAM ABDALLAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567945300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELWYN NEW JERSEY |
| 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 |
|---|---|---|---|---|
| 1689236200 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3239 Glassboro Cross Keys Rd, Williamstown, NJ 08094-3374 | 2019-07-03 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1245791532 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 383 Whig Lane Rd, Pilesgrove, NJ 08098-3217 | 2019-03-28 |
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1518421684 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Spruce St, Glassboro, NJ 08028-3346 | 2019-01-23 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1932693959 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Franklin Rd, Glassboro, NJ 08028-1527 | 2018-06-22 |
| 1700375029 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Trimmel Ave, Franklinville, NJ 08322-2264 | 2018-05-02 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| Street Address |
303 WILLIAMSON LN |
| City | MULLICA HILL |
| State | NJ |
| Zip Code | 08062-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881254308 | Kaplan & Tyson, LLC Dba Eye Associates | Durable Medical Equipment & Medical Supplies | 5 Myers Drive, Suite 101, Mullica Hill, NJ 08062 | 2019-06-17 |
| 1588165526 | Mullica Hill Family Dental, LLC | Dentist | 7 Myers Drive Unit A, Mullica Hill, NJ 08062 | 2018-02-26 |
| 1639689102 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Iredell Lane, Mullica Hill, NJ 08062 | 2017-10-10 |
| 1639697782 | Kingsway Recovery LLC | Counselor | 124 Bridgeton Pike, Mullica Hill, NJ 08062 | 2017-09-08 |
| 1568998912 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 Fislerville Rd (richwood), Mullica Hill, NJ 08062 | 2017-05-04 |
| 1114381399 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 444 Fislerville Rd, South Harrison Twp, NJ 08062 | 2016-04-13 |
| 1053687574 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 524 Mullica Hill Rd, Harrison Township, NJ 08062 | 2012-03-29 |
| 1134491590 | South Jersey Healthcare | Clinic/Center | 210 Tomlin Station Road, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1144592502 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1760764898 | Inspira Medical Centers, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite A, Mullica Hill, NJ 08062 | 2011-09-14 |
| Find all providers in zip 08062 | ||||
| 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 |
|---|---|---|---|---|
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1851874671 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 580 Clems Run, Mullica Hill, NJ 08062-2858 | 2018-09-07 |
| 1679084941 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1034 Mullica Hill Rd, Mullica Hill, NJ 08062-4720 | 2017-10-13 |
| 1639689102 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Iredell Lane, Mullica Hill, NJ 08062 | 2017-10-10 |
| 1912417692 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Daylight Dr, Mullica Hill, NJ 08062-3746 | 2017-10-06 |
| 1568998912 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 Fislerville Rd (richwood), Mullica Hill, NJ 08062 | 2017-05-04 |
| 1669835245 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 369 Richwood Rd, Mullica Hill, NJ 08062-4419 | 2016-04-01 |
| 1477933422 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42 Woodstown Rd, Mullica Hill, NJ 08062-9636 | 2015-06-04 |
| 1922488089 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1313 Ellis Mill Rd, Mullica Hill, NJ 08062-4431 | 2015-06-04 |
| 1073993028 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1330 Ellis Mill Rd, Mullica Hill, NJ 08062-4424 | 2015-06-04 |
| Find all providers in MULLICA HILL | ||||
| City | MULLICA HILL |
| Zip Code | 08062 |
Please comment or provide details below to improve the information on ELWYN NEW JERSEY.
| 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.