PEDIATRIC DAY HLTH CTR GALLOW (NPI# 1790871812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790871812 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DAY HLTH CTR GALLOW |
| Practice Address |
66 W Jimmie Leeds Rd Galloway NJ 08205-9401 |
| Mailing Address |
1114 Wynnwood Ave Cherry Hill NJ 08002-3256 |
| Practice Telephone | 6097489100 |
| Practice Fax Number | 6097489300 |
| Mailing Telephone | 8566634044 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | ROBERT J SALL (C.E.O.) |
| Authorized Official Telephone | 8566634044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0103616 | 05 |
| Street Address |
66 W JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144666579 | Galloway Nursing & Rehab LLC | Skilled Nursing Facility | 66 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2013-05-13 |
| 1770791501 | Joseph Louis Simmons | Occupational Therapist | 66 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063913143 | The Village Child Care Center LLC | Clinic/Center | 1900 Frontage Rd Apt 810, Cherry Hill, NJ 08034-2214 | 2018-02-23 |
| 1457796930 | Galloway Pediatric Medical Day Care LLC | Clinic/Center | 66 West Jimmie Leeds Road, Absecon, NJ 08201 | 2013-05-09 |
| 1720247091 | Providence Pediatric Medical Daycare, Inc. | Clinic/Center | 35 S Annapolis Ave, Atlantic City, NJ 08401-5927 | 2008-06-03 |
| 1467650572 | Manchester Ped Day Hlth Svcs | Clinic/Center | 1770 Tobias Ave, Manchester, NJ 08759-5803 | 2007-07-10 |
| 1699828111 | Enam Corporation | Clinic/Center | 238 Mercer St, Gloucester City, NJ 08030-1429 | 2007-01-19 |
| 1245382555 | Horizon Pediatric Systems Inc. | Clinic/Center | 100 Youngs Rd, Suite 6, Mercerville, NJ 08619-1025 | 2007-01-17 |
| 1104342856 | Epic Health Services, Inc | Clinic/Center | 316 W Westfield Ave, Roselle Park, NJ 07204-1841 | 2017-08-15 |
| 1154872240 | Little Stars Children's Medical Day Care LLC | Clinic/Center | 225 N Center Dr, North Brunswick, NJ 08902-4247 | 2016-10-24 |
| 1699167585 | Rainbow Children's Medical Day Care LLC | Clinic/Center | 100 Youngs Rd, Suite 100, Mercerville, NJ 08619-1025 | 2015-03-02 |
| 1265857890 | Manchester Pediatric Medical Day Care | Clinic/Center | 1770 Tobias Ave, Manchester, NJ 08759-5803 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC DAY HLTH CTR GALLOW.
| 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.