PENNREACH


Address: 273 Glenn Ave, Lawrenceville, NJ 08648-3755
Phone: 2154752401

PENNREACH (NPI# 1568940229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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 Provider IDs and Locations

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

Office Location

Street Address 273 GLENN AVE
City LAWRENCEVILLE
State NJ
Zip Code 08648-3755

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336763531 Medlife Diagnostic Laboratories Clinical Medical Laboratory 1717 Brunswick Ave, Lawrence Twp, NJ 08648 2020-06-03
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1457832149 St. Mary's Assisted Living Assisted Living Facility One Bishops' Drive, Lawrenceville, NJ 08648 2018-08-22
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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
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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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAWRENCEVILLE
Zip Code 08648

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Dataset Information

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.

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