LEGACY TREATMENT SERVICES (NPI# 1730557448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730557448 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES |
| Practice Address |
243 Pine Street Mount Holly NJ 08060 |
| Mailing Address |
1289 Route 38 West Suite #203 Hainesport NJ 08036-2720 |
| Practice Telephone | 6092883067 |
| Practice Fax Number | 6092671895 |
| Mailing Telephone | 6092883067 |
| Mailing Fax Number | 6092651895 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | BETTY GARRISON (CFO) |
| Authorized Official Telephone | 6092883067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0020559 | 0020559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1659755668 | Legacy Treatment Services | Community/Behavioral Health | 119 Creek Rd, Lumberton, NJ 08048-5229 | 2015-07-20 |
| 1518363316 | Legacy Treatment Services | Community/Behavioral Health | 110 Old Turnpike Road, Oldwick, NJ 08858 | 2014-11-06 |
| 1316342553 | Legacy Treatment Services | Community/Behavioral Health | 74 Hawkin Rd, New Egypt, NJ 08533-2824 | 2014-10-30 |
| 1942605183 | Legacy Treatment Services | Community/Behavioral Health | 553 Monmouth Rd, Wrightstown, NJ 08562-2125 | 2014-10-30 |
| 1841673407 | Legacy Treatment Services | Community/Behavioral Health | 795 Woodlane Rd, Suite #301, Westampton, NJ 08060-3832 | 2015-07-01 |
| 1396128955 | Legacy Treatment Services | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-07-01 |
| 1881085637 | Legacy Treatment Services | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES | 3837 Mayfair St, Pittsburgh, PA 15204-1011 |
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
243 PINE STREET |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1003297870 | Gabriela Beatriz Ortiz | Counselor | 770 Woodland Road - Suite 35, Mt. Holly, NJ 08060 | 2015-06-17 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487071296 | Djn Associates, LLC | In Home Supportive Care | 2 Commerce Pl, Mount Holly, NJ 08060-1735 | 2014-03-19 |
| 1962847863 | A.d.e.p.t. Programs Inc | In Home Supportive Care | 111 High St, Mount Holly, NJ 08060-1472 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679188 | Long Island Senior Care LLC | In Home Supportive Care | 106 Elm St Apt 2, Orange, NJ 07050-4056 | 2020-11-02 |
| 1285234757 | Inclusive Home Care LLC | In Home Supportive Care | 2 Spinnaker Dr, South Amboy, NJ 08879-3438 | 2020-10-26 |
| 1730788795 | Mario Parker | In Home Supportive Care | 571 Park St, Montclair, NJ 07043-2027 | 2020-10-21 |
| 1588263693 | Fk's&r LLC | In Home Supportive Care | 393 Sanford Ave, Hillside, NJ 07205-2724 | 2020-10-20 |
| 1104424654 | Tnt Ventures, LLC | In Home Supportive Care | 15 Corporate Pl S Ste 405, Piscataway, NJ 08854-6113 | 2020-10-15 |
| 1578161634 | Trontz Enterprises LLC | In Home Supportive Care | 86 River St, Hoboken, NJ 07030-5607 | 2020-10-12 |
| 1538776950 | Sweet Influence Home Care Agency | In Home Supportive Care | 1626 Edmund Ter, Union, NJ 07083-4006 | 2020-09-29 |
| 1184231607 | Wellcare Home Care LLC | In Home Supportive Care | 1281 Valley Rd # B, Wayne, NJ 07470-7980 | 2020-09-29 |
| 1720692932 | Golden Heart Home Care LLC | In Home Supportive Care | 456 Pleasant Valley Way, West Orange, NJ 07052-2921 | 2020-09-04 |
| 1205440690 | Lois Moskowitz | In Home Supportive Care | 9 Camelot Dr, East Brunswick, NJ 08816-3621 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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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.