EDEN AUTISM SERVICES (NPI# 1679958961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679958961 |
Entity Type | Organization |
Organization Name | EDEN AUTISM SERVICES |
Other Organization Name | NOONAN HOUSE |
Practice Address |
85 Willis Dr Ewing NJ 08628 |
Mailing Address |
2 Merwick Road Princeton NJ 08540 |
Practice Telephone | 6099870099 |
Mailing Telephone | 6099870099 |
Enumeration Date | 2015-07-28 |
Last Update Date | 2018-06-04 |
Authorized Official Name | JAMIE K. DOUGLAS (MANAGING DIRECTOR ADULT SERVICES) |
Authorized Official Telephone | 6099870099 |
Is Organization Subpart | Y |
Parent Organization Name | EDEN AUTISM SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Noonan House | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952451 | Eden Autism Services | Day Training, Developmentally Disabled Services | 411 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
1164033262 | Eden Autism Services | Day Training, Developmentally Disabled Services | 413 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
1366053464 | Eden Autism Services | Day Training, Developmentally Disabled Services | 416 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
1518524768 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13101 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
1629635867 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13104 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
1164998100 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 349 Old Cranbury Rd, Cranbury, NJ 08512-3105 | 2018-10-17 |
1649778622 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12 Schenk Pl, Robbinsville, NJ 08691-1146 | 2018-01-25 |
1396274213 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309a Stanworth Ln, Princeton, NJ 08540-3727 | 2017-06-05 |
1932640844 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2308 Albert Way, Building 201, Princeton, NJ 08540 | 2017-03-10 |
1740648369 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3 Blue Devil Lane, Hamilton, NJ 08619 | 2016-02-10 |
Street Address |
85 WILLIS DR |
City | EWING |
State | NJ |
Zip Code | 08628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649760562 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628-2019 | 2018-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
1831537372 | Paulo Juan Bagayas Verdeflor | Nurse Practitioner | 2401 Stuyvesant Ave, Trenton, NJ 08628 | 2013-06-06 |
Find all providers in zip 08628 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497277800 | Crossroads Programs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 42 Delaware Ave, Ewing, NJ 08628-2003 | 2017-07-07 |
1275070948 | Enable, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 39 Lopatcong Dr, Ewing, NJ 08638-1317 | 2017-01-19 |
1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
1649760562 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628-2019 | 2018-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
Find all providers with the same taxonomy |
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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.