LEGACY TREATMENT SERVICE, INC. (NPI# 1790182343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790182343 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICE, INC. |
| Practice Address |
1289 Route 38 Suite #203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092883067 |
| Practice Fax Number | 6092651895 |
| Mailing Telephone | 6092883067 |
| Mailing Fax Number | 6092651895 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | BETTY GARRISON (CFO) |
| Authorized Official Telephone | 6092675656 |
| 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 | NJ | Residential Treatment Facilities |
| Address | 1289 Route 38 West, Suite 203, Hainesport, NJ 08036 |
| Phone | 609-267-5656 |
| Website | https://www.legacytreatment.org/locations/main-office/ |
| Description | Legacy Treatment Services, a 501c3 nonprofit, was created as a merger between The Drenk Center and The Children’s Home in addition to an affiliation with Community Treatment Solutions. Our Mission: To change the behavioral health and social service outcomes for people of all ages from surviving to thriving. |
| Street Address |
1289 ROUTE 38 SUITE #203 |
| City | HAINESPORT |
| State | NJ |
| Zip Code | 08036-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366588451 | The Lester A. Drenk Behavioral Health Center, Inc. | Community/Behavioral Health | 1289 Route 38, Suite 203, Hainesport, NJ 08036-2730 | 2007-01-29 |
| 1740802909 | Joann Estelle Brown | Behavioral Analyst | 1289 Route 38, Hainesport, NJ 08036-2730 | 2020-05-11 |
| 1306380613 | April Stone | Registered Nurse | 1289 Route 38, Hainesport, NJ 08036-2730 | 2016-12-06 |
| 1023568524 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2016-10-07 |
| 1871979401 | Ronald Redmond | Social Worker | 1289 Route 38, Suite 203, Hainesport, NJ 08036-2730 | 2015-08-05 |
| 1487047395 | Legacy Treatment Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1289 Route 38, #203, Hainesport, NJ 08036-2730 | 2015-03-17 |
| 1679970222 | Legacy Treatment Serivces, Inc. | Respite Care | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2014-11-25 |
| 1730594656 | Legacy Treatment Services Inc | Community/Behavioral Health | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2014-06-30 |
| 1598183147 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #202, Hainesport, NJ 08036-2730 | 2014-04-01 |
| 1043638604 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #104, Hainesport, NJ 08036-2730 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915736 | Anthony Nguyen | Physical Therapist | Plaza 38 Shopping Center, 1509 Route 38, Suite 4, Hainesport, Nj 08036, NJ 08036 | 2019-07-26 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1609198381 | Michel Hyppolite | Family Medicine | 18 Bancroft Lane, Hamesport, NJ 08036 | 2010-02-22 |
| 1700119765 | Christopher T. Taylor Dc, PC | Chiropractor | 1308 Rt 38, Hainesport, NJ 08036 | 2009-09-09 |
| 1457584864 | Ken Sing Cheng | Physical Therapist | 1299 Route 38, Suite 9, Hainesport, NJ 08036 | 2009-09-02 |
| 1659514438 | Christine Kirkbride | Counselor | 1289 Route 38 Ste 203, Hainesport, NJ 08036 | 2009-04-09 |
| 1992960991 | Roanna Espino Alcera | Family Medicine | 103 Creek Crossing Boulevard, Hainesport, NJ 08036 | 2008-07-19 |
| 1255526448 | H2 Rehabilitation Services of New Jersey, LLC | Clinic/Center | 300 Creek Crossing Blvd, Suite 308, Hainesport, NJ 08036 | 2007-09-11 |
| 1811197692 | Rebecca Knight Warren | Physical Therapist | Creek Crossing Blvd, Blding 100, Ste 107, Hainesport, NJ 08036 | 2007-07-20 |
| 1235213471 | Ross Center for Orthopedics, LLC | Orthopaedic Surgery | 300 Creek Crossing Boulevard, Suite 307, Hainesport, NJ 08036 | 2006-10-24 |
| Find all providers in zip 08036 | ||||
| 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 |
|---|---|---|---|---|
| 1013527738 | Raquel Anna Ortiz | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 2nd St, Hainesport, NJ 08036-2608 | 2020-08-06 |
| 1487047395 | Legacy Treatment Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1289 Route 38, #203, Hainesport, NJ 08036-2730 | 2015-03-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HAINESPORT |
| Zip Code | 08036 |
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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.