DEVEREUX FOUNDATION (NPI# 1508330663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508330663 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Practice Address |
11 Carriage Square Tobyhanna PA 18466 |
| Mailing Address |
1547 Mill Creek Rd Newfoundland PA 18445-5239 |
| Practice Telephone | 5708396151 |
| Practice Fax Number | 5706764586 |
| Mailing Telephone | 5708396151 |
| Mailing Fax Number | 5706764586 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | DIANE HOWELL (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5708396151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1205494978 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 | 2019-05-29 |
| 1023675808 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 | 2019-05-28 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1609333194 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Creek Ln, Mount Royal, NJ 08061-1039 | 2019-02-21 |
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1326512476 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bloss Rd, Canadensis, PA 18325-4741 | 2019-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DEVEREUX FOUNDATION, INC., THE | 81 Sabbaday La, Washington, CT 06793 |
| Street Address |
11 CARRIAGE SQUARE |
| City | TOBYHANNA |
| State | PA |
| Zip Code | 18466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
| 1144743873 | Luisa Tieso | Psychologist | 6167 Somers Terr, Tobyhanna, PA 18466 | 2017-07-25 |
| 1982087797 | Patricia Detrick | Physical Therapy Assistant | 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 | 2015-06-30 |
| 1376959569 | Mountain Valley Orthopedics PC | Pharmacy | 100 Community Drive Stuite 210, Tobyhanna, PA 18466 | 2014-07-08 |
| 1346674975 | Michelle Backus | Social Worker | 633 Lakeside Drive, Tobyhanna, PA 18466 | 2013-08-30 |
| 1205107067 | Sharon and Cynthia | Home Health | 9249 Westwood Dr, Tobyhanna, PA 18466 | 2012-01-25 |
| 1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
| 1942599063 | Diane Latosek | Pharmacist | 12 Carriage Square, Tobyhanna, PA 18466 | 2011-03-29 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1467080846 | Katherine Moore | Social Worker | 1151 Pocono Blvd, Coolbaugh, PA 18466 | 2020-03-31 |
| Find all providers in zip 18466 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738824 | Community Integrated Services | Day Training, Developmentally Disabled Services | 441 N 5th St Ste 101, Philadelphia, PA 19123-4009 | 2020-10-23 |
| 1881207124 | Axion Worldwide LLC | Day Training, Developmentally Disabled Services | 350 Sentry Pkwy, Building 620, Suite 200, Blue Bell, PA 19422-2314 | 2020-08-26 |
| 1306461348 | Sunny Days Adult Daily Living Center Inc. | Day Training, Developmentally Disabled Services | 105 Stonecrest Dr Ste 1, Bellefonte, PA 16823-8574 | 2020-06-16 |
| 1801447347 | Choice Empowers Services LLC | Day Training, Developmentally Disabled Services | 68-20 Drexelbrook Dr, Drexel Hill, PA 19026-5389 | 2019-09-25 |
| 1538710256 | Amor Homecare Inc | Day Training, Developmentally Disabled Services | 662 N Washington St, Wilkes Barre, PA 18705-1708 | 2019-09-24 |
| 1568012342 | A Day With My Friends LLC | Day Training, Developmentally Disabled Services | 400 Middletown Blvd Ste 108, Langhorne, PA 19047-1819 | 2019-09-13 |
| 1790331544 | Occupational Services Inc | Day Training, Developmentally Disabled Services | 17 Redwood St, Chambersburg, PA 17201-3295 | 2019-08-16 |
| 1740742972 | Poni Sails, LLC | Day Training, Developmentally Disabled Services | 78 Towpath St Apt C, New Hope, PA 18938-1209 | 2019-04-05 |
| 1437610417 | Compassionate Home Care Services, Inc. | Day Training, Developmentally Disabled Services | 210 Clearview Dr, Long Pond, PA 18334-7728 | 2019-03-31 |
| 1356809750 | Everyday Community Resources | Day Training, Developmentally Disabled Services | 4949 Liberty Ln Ste 305, Allentown, PA 18106-9014 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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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.