WILLOWGLEN ACADEMY-NEW JERSEY, INC. (NPI# 1013392794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013392794 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Other Organization Name | WGA ALPINE 3 |
| Practice Address |
4 Center Street Building 12 Apt. #25 Sussex NJ 07461 |
| Mailing Address |
8 Wilson Drive Sparta NJ 07871-3491 |
| Practice Telephone | 9735793700 |
| Practice Fax Number | 9735791786 |
| Mailing Telephone | 9735793700 |
| Mailing Fax Number | 9735791786 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MRS. PATRICIA BATES (CONTROLLER) |
| Authorized Official Telephone | 9735793700 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WGA Alpine 3 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1073999009 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 19 Wilson Drive, Sparta, NJ 07871 | 2015-07-31 |
| 1144606179 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Big Spring Road, Hardyston, NJ 07460 | 2015-07-31 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1972989903 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 190 Munson Hurst Road, Franklin, NJ 07416 | 2015-07-31 |
| 1235515263 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 501 Kings Avenue Suite 1, Cherry Hill, NJ 08002 | 2015-07-31 |
| 1568848620 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 4 Gail Court, Sparta, NJ 07871 | 2015-07-30 |
| 1851777981 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Roslyn Road, Branchville, NJ 07826 | 2015-07-30 |
| 1568848604 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 194 Plains Road, Frankford, NJ 07826 | 2015-07-30 |
| Street Address |
4 CENTER STREET BUILDING 12 APT. #25 |
| City | SUSSEX |
| State | NJ |
| Zip Code | 07461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194157 | Jordyn A Martin | Specialist/Technologist | 66 Lusscroft Rd., Wanatge, NJ 07461 | 2019-10-03 |
| 1215386602 | Star Home Health Care Services | In Home Supportive Care | 25 Boulder Hills Boulevard, Suite A, Wantage, NJ 07461 | 2016-06-07 |
| 1578949616 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Morgan Drive, Wantage, NJ 07461 | 2015-07-30 |
| 1174909204 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center Street Building 12 Apt. #6, Sussex, NJ 07461 | 2015-07-30 |
| 1871978288 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center Street, Apt. 36 & 30, Sussex, NJ 07461 | 2015-07-27 |
| 1548436827 | Arthur Henry Braunwell Jr. | Family Medicine | 47 Medaugh Rd, Sussex, NJ 07461 | 2008-05-06 |
| 1952509739 | Myra Jean Rowland | Counselor | 110 Mudtown Road, Sussex, NJ 07461 | 2007-07-03 |
| 1093782302 | Harvey S Beckman | Internal Medicine | 2 Hamburg Ave, Sussex, NJ 07461 | 2006-03-06 |
| 1861989436 | Willowglen Academy - New Jersey. Inc. | Day Training, Developmentally Disabled Services | 4 Center Street, Apt 36, Sussex, NJ 07461 | 2018-04-18 |
| 1215304050 | Acme Markets Inc | Pharmacy | 455 State Rt 23, Sussex, NJ 07461 | 2015-08-27 |
| Find all providers in zip 07461 | ||||
| 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 |
|---|---|---|---|---|
| 1558852608 | Willowglen Academy - New Jersey. Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center St Apt 33, Sussex, NJ 07461-2145 | 2018-05-24 |
| 1174909204 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center Street Building 12 Apt. #6, Sussex, NJ 07461 | 2015-07-30 |
| 1871978288 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center Street, Apt. 36 & 30, Sussex, NJ 07461 | 2015-07-27 |
| 1861878993 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center Street, Building 12 Apt. 2, Sussex, NJ 07461 | 2015-07-30 |
| 1710367883 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Valley Rd, Sussex, NJ 07461-1512 | 2015-06-04 |
| 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 | ||||
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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.