LEGACY TREATMENT SERIVCES, INC. (NPI# 1518465764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518465764 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERIVCES, INC. |
| Practice Address |
208 Fairmount Rd Long Valley NJ 07853-3013 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092575656 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | RONALD DAVIS (BILLING MANAGER) |
| Authorized Official Telephone | 6092675656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891292918 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 252 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1851898969 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 254 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1730686825 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 659 Eayrestown Rd, Lumberton, NJ 08048-3177 | 2018-04-06 |
| 1144728221 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 246 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-24 |
| 1578061644 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 123 Hillside Dr, Robbinsville, NJ 08691-3614 | 2018-01-24 |
| 1306344478 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 417 Smithburg Ct, Jackson, NJ 08527-4444 | 2018-01-24 |
| 1952809121 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 250 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-23 |
| 1821505827 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 68 Culver Rd Ste 170, Monmouth Junction, NJ 08852-2820 | 2017-12-29 |
| 1255842589 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 25 Scotch Rd, Ewing, NJ 08628-2500 | 2017-10-13 |
| 1932699410 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 561 Tilton Rd, Northfield, NJ 08225-1217 | 2018-05-10 |
| Street Address |
208 FAIRMOUNT RD |
| City | LONG VALLEY |
| State | NJ |
| Zip Code | 07853-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543887 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 39a Old Turnpike Road, Long Valley, NJ 07853 | 2017-12-05 |
| 1407215536 | Leah Nagorsky | Physician Assistant | 3 Emily Pl, Long Valley, NJ 07853 | 2016-02-17 |
| 1982041125 | Sharon Defusco | Speech-Language Pathologist | 17 Beechnut Drive, Long Valley, NJ 07853 | 2013-05-29 |
| 1134494925 | Long Valley First Aid Squad | Ambulance | 70 East Mill Rd, Long Valley, NJ 07853 | 2012-03-13 |
| 1639294507 | Goodkin & Pilek Family Dentistry, LLC | Dentist | 59 E. Mill Rd, Suite 2-2034, Long Valley, NJ 07853 | 2007-03-20 |
| 1619044674 | Deborah Waddell | Acupuncturist | 59 East Mill Rd, Suite 2 209, Long Valley, NJ 07853 | 2006-11-28 |
| 1790854065 | Mary Anne Giuseppe | Dentist | 2 Mountain View Avenue, Long Valley, NJ 07853 | 2006-11-08 |
| 1023124351 | Robert A Mason | Dentist | 104 Parker Rd, Long Valley, NJ 07853 | 2006-08-21 |
| 1174502363 | Jacqueline M Roskie | Social Worker | 59 East Mill Road, Bldg 2 Suite 2 - 202, Long Valley, NJ 07853 | 2006-01-16 |
| 1144399411 | Elizabeth Nancy Odinez Bortfeld | Dentist | 2 Mountain View Ave, Long Valley, NJ 07853 | 2006-11-08 |
| Find all providers in zip 07853 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162770 | Friends of Cyrus Inc | Psychiatric Residential Treatment Facility | 205 Hardenburg Ln, East Brunswick, NJ 08816-2417 | 2019-12-30 |
| 1730644725 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Dogwood Ct, Hackettstown, NJ 07840-4800 | 2019-02-05 |
| 1568927556 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 143 Meadows Rd, Lafayette, NJ 07848-3120 | 2019-02-05 |
| 1548725534 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Waterloo Rd, Stanhope, NJ 07874-3449 | 2019-02-05 |
| 1891250882 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Tall Oaks Rd, Somerset, NJ 08873-3033 | 2019-02-05 |
| 1154886141 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 15 Rockleigh Dr, Ewing, NJ 08628-1516 | 2019-02-05 |
| 1366907354 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Pritchard Ln, Sicklerville, NJ 08081-2013 | 2019-02-05 |
| 1114482007 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 270 Smithburg Rd, Manalapan, NJ 07726-8122 | 2019-02-05 |
| 1376008367 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 521 Townsbury Rd, Great Meadows, NJ 07838-2043 | 2019-02-05 |
| 1225593213 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 266 Jackson Mills Rd, Freehold, NJ 07728-8057 | 2019-02-05 |
| Find all providers with the same taxonomy | ||||
| City | LONG VALLEY |
| Zip Code | 07853 |
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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.