PURVIS'S RETREAT (NPI# 1508188541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188541 |
| Entity Type | Organization |
| Organization Name | PURVIS'S RETREAT |
| Practice Address |
20 Thoroughbred Ct Bridgeton NJ 08302-3553 |
| Practice Telephone | 8564958385 |
| Mailing Telephone | 8564958385 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | MR. PURVIS J HATCHER (PRESIDENT) |
| Authorized Official Telephone | 8564958385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
20 THOROUGHBRED CT |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124597018 | Abigail Katherine Gutmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-11-20 |
| 1316415649 | Karl Potzmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-11-05 |
| 1710453188 | Destany Danielle Mcdaniel | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-23 |
| 1447726815 | Garfield Duckett | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1891261269 | Holly Shiels | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-23 |
| 1497221477 | Christine Elise Kampmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044 | 2018-10-17 |
| 1295201275 | Darion Alexander Baker | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-17 |
| 1780169995 | Destiny Mccain | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-03 |
| 1356826630 | Amy Nicole Studer | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-10-02 |
| 1720561913 | Annamica Klem | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-09-13 |
| Find all providers in BRIDGETON | ||||
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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.