PENNREACH (NPI# 1568940229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568940229 |
Entity Type | Organization |
Organization Name | PENNREACH |
Practice Address |
273 Glenn Ave Lawrenceville NJ 08648-3755 |
Mailing Address |
18 S Main St Allentown NJ 08501-1610 |
Practice Telephone | 2154752401 |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-03 |
Authorized Official Name | PAULINE BAILO (DIRECTOR) |
Authorized Official Telephone | 2154752401 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
1841845690 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Waker Avenue, Allentown, NJ 08501-0850 | 2019-08-08 |
1144875071 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 810, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1053966986 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 812, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1417502345 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 814, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1376198275 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 910, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1245885185 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 912, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1497300354 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 914, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1326693284 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1008, Fort Lee, NJ 07024-6909 | 2019-08-07 |
1144875006 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1010, Fort Lee, NJ 07024-6909 | 2019-08-07 |
Street Address |
273 GLENN AVE |
City | LAWRENCEVILLE |
State | NJ |
Zip Code | 08648-3755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
Find all providers in zip 08648 |
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 |
---|---|---|---|---|
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1770099848 | Hi-hope Service Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 882 Hi Hope Rd, Lawrenceville, GA 30043-4543 | 2017-12-27 |
1093185589 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Texas Ave, Lawrenceville, NJ 08648-3709 | 2015-09-28 |
1902276496 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Hopatcong Dr, Lawrenceville, NJ 08648-4136 | 2015-09-28 |
1760851133 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 137 Federal City Rd, Lawrenceville, NJ 08648-1507 | 2015-09-16 |
1841671807 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Freedom Ct, Lawrenceville, NJ 08648 | 2015-06-16 |
1912388836 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Freedom Blvd, Lawrenceville, NJ 08648-4533 | 2015-06-16 |
1114307881 | Allies, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 746 President Ave, Lawrenceville, NJ 08648-4442 | 2015-06-08 |
1538580873 | Family Alternatives LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2383 Old Stage Rd, Lawrenceville, VA 23868-2903 | 2014-01-03 |
1386980548 | View Point Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 Campbell Gate Rd, Lawrenceville, GA 30045-2314 | 2012-12-17 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 08648 |
Please comment or provide details below to improve the information on PENNREACH.
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.