THE OPEN DOOR OF NJ (NPI# 1548640477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548640477 |
| Entity Type | Organization |
| Organization Name | THE OPEN DOOR OF NJ |
| Other Organization Name | VICTORY GROUP HOME |
| Practice Address |
36 Beaumont Dr Brick NJ 08723-7916 |
| Mailing Address |
2152 Route 70 Manchester NJ 08759-4735 |
| Practice Telephone | 7324085681 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | NICOLE HALL (RESIDENTIAL DIRECTOR) |
| Authorized Official Telephone | 7324085681 |
| Is Organization Subpart | N |
| 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 |
| Other Name | Type Code |
|---|---|
| Victory Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265812127 | The Open Door of Nj | Day Training, Developmentally Disabled Services | 185 Route 36, Building B, West Long Branch, NJ 07764-1339 | 2015-06-05 |
| 1841670775 | The Open Door of Nj | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 319 Sapphire Dr, Jackson, NJ 08527-1364 | 2015-06-05 |
| 1801276696 | The Open Door of Nj | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 Gladstone St, Toms River, NJ 08757-3603 | 2015-06-05 |
| 1033599956 | The Open Door of Nj | Respite Care | 832 Wellington Ave, Toms River, NJ 08757 | 2015-06-05 |
| 1649650573 | The Open Door of Nj | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1097 Lakewood Farmingdale Rd, Howell, NJ 07731-8654 | 2015-06-05 |
| 1407240666 | The Open Door of Nj | Day Training, Developmentally Disabled Services | 1808 Route 37 E, Toms River, NJ 08753-8257 | 2015-03-26 |
| 1063892982 | The Open Door of Nj | Case Management | 2152 Route 70, Manchester, NJ 08759-4735 | 2015-06-05 |
| Street Address |
36 BEAUMONT DR |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-7916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1386298610 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 141, Brick, NJ 08723-3504 | 2019-07-25 |
| 1639723968 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 142, Brick, NJ 08723-3504 | 2019-07-25 |
| 1316590961 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 241, Brick, NJ 08723-3505 | 2019-07-23 |
| 1629636741 | Association for The Multipe Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 874 Gregory Dr, Brick, NJ 08723-6208 | 2019-06-04 |
| 1093215782 | Rem New Jersey Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 20th Ave, Brick, NJ 08724-2607 | 2018-02-19 |
| 1386152825 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 988 Sids Ct, Brick, NJ 08724-7173 | 2018-01-18 |
| 1891219234 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 110, Brick, NJ 08724-2583 | 2017-07-27 |
| 1336663814 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 117, Brick, NJ 08724-2584 | 2017-07-27 |
| 1417471996 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 119, Brick, NJ 08724-2584 | 2017-07-27 |
| Find all providers in BRICK | ||||
Please comment or provide details below to improve the information on THE OPEN DOOR OF NJ.
| 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.