THE DEVEREUX FOUNDATION (NPI# 1710411319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411319 |
| Entity Type | Organization |
| Organization Name | THE DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
12 Hughes Road Somerset NJ 08873 |
| 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 | GH1230 | 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 |
12 HUGHES ROAD |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| 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 |
|---|---|---|---|---|
| 1730713991 | Letscare Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Hempstead Dr, Somerset, NJ 08873-3942 | 2020-02-26 |
| 1740840925 | Infinite Abilities & Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 N Highway 1247, Somerset, KY 42503-4601 | 2019-06-19 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1427550995 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Kuhn St, Somerset, NJ 08873-3356 | 2018-03-01 |
| 1497260756 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Berger St, Somerset, NJ 08873-3365 | 2017-12-08 |
| 1104338904 | Community Options Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Glastonbury Ln, Somerset, NJ 08873-4932 | 2017-11-02 |
| 1518482314 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Buffa Dr, Somerset, NJ 08873-2752 | 2017-08-14 |
| 1194252403 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 251 Berger St, Somerset, NJ 08873-2861 | 2017-05-17 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| 1144755513 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Jfk Boulevard, Unit 7g, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in SOMERSET | ||||
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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.