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).
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 |
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 |
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 |
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 |
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 |
48 SKYLINE DRIVE |
City | SPARTA |
State | NJ |
Zip Code | 07871 |
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 |
Find all providers in zip 07871 |
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 |
---|---|---|---|---|
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 |
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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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.