PENNREACH (NPI# 1679087142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679087142 |
| Entity Type | Organization |
| Organization Name | PENNREACH |
| Practice Address |
213 Garrett Dr Long Branch NJ 07740-5593 |
| Mailing Address |
18 S Main St Allentown NJ 08501-1610 |
| Practice Telephone | 7329634523 |
| Practice Fax Number | 6092594120 |
| Mailing Telephone | 7329634523 |
| Mailing Fax Number | 6092594120 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| 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 |
213 GARRETT DR |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| 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 |
|---|---|---|---|---|
| 1295348423 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 2n, Long Branch, NJ 07740-5767 | 2020-08-27 |
| 1780297085 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 2l, Long Branch, NJ 07740-5767 | 2020-08-26 |
| 1144833401 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 2m, Long Branch, NJ 07740-5767 | 2020-08-26 |
| 1689285280 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1i, Long Branch, NJ 07740-5774 | 2020-08-17 |
| 1215548813 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1j, Long Branch, NJ 07740-5774 | 2020-08-17 |
| 1861003469 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 2b, Long Branch, NJ 07740-5774 | 2020-08-17 |
| 1225649916 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1a, Long Branch, NJ 07740-5756 | 2020-08-14 |
| 1306457098 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1b, Long Branch, NJ 07740-5756 | 2020-08-14 |
| 1215548995 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1c, Long Branch, NJ 07740-5756 | 2020-08-14 |
| 1346851003 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 2nd Ave Apt 1d, Long Branch, NJ 07740-5756 | 2020-08-14 |
| Find all providers in LONG BRANCH | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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.