THE DEVEREUX FOUNDATION (NPI# 1710411301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411301 |
| Entity Type | Organization |
| Organization Name | THE DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
212 South 20th Street Hillsborough NJ 08844 |
| Mailing Address |
286 Mantua Grove Road West Deptford NJ 08066 |
| Practice Telephone | 8565996400 |
| Practice Fax Number | 8565996404 |
| Mailing Telephone | 8565996400 |
| Mailing Fax Number | 8565996404 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8565996429 |
| 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 | GH1134 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0399507 | 05 |
| Other Name | Type Code |
|---|---|
| Devereux Advanced Behavioral Health | Doing Business As Name - 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 |
212 SOUTH 20TH STREET |
| City | HILLSBOROUGH |
| State | NJ |
| Zip Code | 08844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460490 | Suman Dahiya | Physical Therapist | Nathaniel Witherell, 70 Parsonage Rd, Greenwich, CT 08844 | 2020-02-26 |
| 1265082929 | Ashley Rose | Behavioral Analyst | 856 Hwy 206, Bldg A Unit 4, Hillsborough, NJ 08844 | 2019-09-16 |
| 1720562879 | Sidona Lynn Anderson | Behavioral Analyst | 419 Conover Dr., Hillsborough, NJ 08844 | 2018-09-24 |
| 1821574385 | Priti Trivedi | Dietitian, Registered | 3 Randolph Way, Hillsborough, NJ 08844 | 2018-07-17 |
| 1760971600 | Mobility Transport Services, LLC. | Non-emergency Medical Transport (VAN) | 120 Stryker Ln Ste 303, Hillsborough, NJ 08844 | 2018-05-07 |
| 1861999393 | Matheny School and Hospital | Day Training/Habilitation Specialist | 216 Valley Park Rd, Suites 3&4, Hillsborough, NJ 08844 | 2018-04-11 |
| 1750881728 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Corporal Langon Way, Apt. 102, Hillsborough, NJ 08844 | 2018-02-16 |
| 1184123606 | Nikhil Sekher | Pharmacy Technician | 613 Van Liew Court, Hillsborough, NJ 08844 | 2018-02-10 |
| 1063921716 | Aratiben Dhirubhai Patel | Physical Therapist | 15 Fisher Dr., Hillsborough, NJ 08844 | 2017-09-26 |
| 1629591151 | Midland Adult Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Gateway Boulevard, Apt 107, Hillsborough, NJ 08844 | 2017-07-17 |
| Find all providers in zip 08844 | ||||
| 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 |
|---|---|---|---|---|
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1225593098 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 340 S Branch Rd Ste 440, Hillsborough, NJ 08844-3433 | 2019-02-06 |
| 1255824595 | Midland Adult Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 234 Hockenbury Rd, Hillsborough, NJ 08844-3228 | 2018-06-12 |
| 1750881728 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Corporal Langon Way, Apt. 102, Hillsborough, NJ 08844 | 2018-02-16 |
| 1144728700 | Midland Adult Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Corporal Langdon Way, Apt 102, Hillsborough, NJ 08844-3407 | 2018-01-30 |
| 1205353034 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 748 Rte 206, Hillsborough, NJ 08844-1506 | 2017-08-23 |
| 1588181317 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Pioneer Dr, Hillsborough, NJ 08844-3203 | 2017-08-23 |
| 1487171211 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Steinmetz Rd, Hillsborough, NJ 08844-1503 | 2017-08-23 |
| 1942726823 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Ardsley Rd, Hillsborough, NJ 08844-3027 | 2017-08-22 |
| 1003339433 | Midland Adult Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 68 Gateway Blvd Apt 106, Hillsborough, NJ 08844-4552 | 2017-07-18 |
| Find all providers in HILLSBOROUGH | ||||
| City | HILLSBOROUGH |
| Zip Code | 08844 |
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.