THE DEVEREUX FOUNDATION


Address: 48 Skyline Drive, Sparta, NJ 07871
Phone: 8565996400

THE DEVEREUX FOUNDATION (NPI# 1730614017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730614017
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 48 Skyline Drive
Sparta
NJ 07871
Mailing Address 286 Mantua Grove Road, Building #4
West Deptford
NJ 08066
Practice Telephone 8565996400
Practice Fax Number 8565996404
Mailing Telephone 8565996400
Mailing Fax Number 8565996404
Enumeration Date 2017-04-25
Last Update Date 2017-05-10
Authorized Official Name MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE)
Authorized Official Telephone 8565996429
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH532 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0399507 05

Other Provider/Organization Names

Other Name Type Code
Devereux Advanced Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

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
1326573601 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 Heritage Court, Pennington, NJ 08534 2017-04-25
1891220174 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 104 Heritage Court, Pennington, NJ 08534 2017-04-25

Other Data Sources

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

Office Location

Street Address 48 SKYLINE DRIVE
City SPARTA
State NJ
Zip Code 07871

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902412737 Jennifer Lynne Coviello Physical Therapist 10 North N Village Blvd, Suite D, Sparta, NJ 07871 2020-09-17
1104442466 Sparta Senior Living, LLC Assisted Living Facility 3 North Village Boulevard, Sparta, NJ 07871 2020-06-23
1679115836 Peli Eyecare and Associates Optometrist 10 North Village Boulevard, Suite C, Sparta, NJ 07871 2019-10-09
1841859451 Ronetco Supermarkets, Inc. Pharmacy 18 North Village Boulevard, Sparta, NJ 07871 2019-06-07
1013571165 North Jersey Scoliosis and Physical Therapy Specialists, LLC Physical Therapist 580 Lafayette Rd, St K, Sparta, NJ 07871 2019-04-24
1356805881 Amazing Strides of Nj LLC Behavioral Analyst #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 2019-01-29
1023589942 Trinity Rehab Somerset Pa Physical Therapist 10 North Village Blvd, Suite D, Sparta, NJ 07871 2018-12-17
1053881649 Lisa Arline Frisbie Counselor 25 Main Street Rear Suite, Sparta, NJ 07871 2018-11-27
1740756444 Three Treasures Acupuncture of New Jersey, LLC Acupuncturist 43 Main Street Suite 102, Sparta, NJ 07871 2018-10-19
1952884181 Capitol Care, Inc. Community/Behavioral Health 6 Laddey Lane, Sparta, NJ 07871 2018-09-13
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124553599 Center for Humanistic Change of Nj, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 48 Green Apple Rd, Sparta, NJ 07871-2727 2017-04-24
1285019968 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 235 Woodport Road G1, Sparta, NJ 07871 2015-07-23
1952781981 Department of Special Education of The Roman Catholic Diocese of Pater Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 447 Glen Road, Sparta, NJ 07871 2015-06-04
1750761839 Scarc, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Graphic Blvd, Sparta, NJ 07871-3509 2015-06-04
1194937219 Human Service Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Melmar Ct, Sparta, IL 62286-1183 2007-05-03
1023220241 Human Service Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Melmar Circle, Sparta, IL 62286-1135 2007-05-03
1437167798 Alleghany County Group Homes, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 53 Estep Street, Sparta, NC 28675 2006-08-03
1679928139 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Wilson Drive, Sparta, NJ 07871-3491 2016-05-03
1225236185 Willowglen Academy -nj, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Wilson Drive, Sparta, NJ 07871 2007-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871559 Heart To Heart Health Care Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 414 Mamie Ct, Brick, NJ 08723-6438 2020-11-06
1316548167 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 2020-11-06
1730789447 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 209 Loganberry Ln, Freehold, NJ 07728-4045 2020-10-30
1881294858 Youth Consultation Service Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 Echohill Ln, Willingboro, NJ 08046-2205 2020-10-29
1093314759 Fordham-lewis Consulting, L.L.C. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 2020-10-22
1487252177 Heart To Heart Health Care Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 2020-10-14
1215535422 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 231 Griggstown Rd, Belle Mead, NJ 08502-5204 2020-10-12
1003413311 Excelsior Services Group LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 415 Main Ave, Wood Ridge, NJ 07075-2055 2020-10-08
1659988178 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Heather Ln, Belle Mead, NJ 08502-5125 2020-09-29
1598372021 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 838 Long Road, Gillete, NJ 07933-0854 2020-09-29
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City SPARTA
Zip Code 07871

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Dataset Information

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.

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