THE DEVEREUX FOUNDATION (NPI# 1568886018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568886018 |
| Entity Type | Organization |
| Organization Name | THE DEVEREUX FOUNDATION |
| Other Organization Name | OVERLOOK |
| Practice Address |
629 Overlook Drive West Whitland Towns PA 19380 |
| Mailing Address |
Po Box 490a Villanova PA 19085-0290 |
| Practice Telephone | 6104318191 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | CATHERINE DRY (REIMBURSEMENT ANALYST) |
| Authorized Official Telephone | 6105423074 |
| 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 | 136090 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000019130710 | 05 |
| Other Name | Type Code |
|---|---|
| Overlook | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004568 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Greentree Rd, Sewell, NJ 08080-9354 | 2020-05-14 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1346759867 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 | 2017-09-27 |
| 1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
| 1417482704 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1619402906 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1629503917 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1730614017 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Skyline Drive, Sparta, NJ 07871 | 2017-04-25 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE DEVEREUX FOUNDATION | 444 Devereux Dr, Villanova, PA 19085 |
| New York State Corporations | THE DEVEREUX FOUNDATION | 302 Washington Avenue Ext., Suite 3, Albany, New York 12203 |
| Street Address |
629 OVERLOOK DRIVE |
| City | WEST WHITLAND TOWNS |
| State | PA |
| Zip Code | 19380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| 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 |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST WHITLAND TOWNS |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on THE DEVEREUX FOUNDATION.
| 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.