THE DEVEREUX FOUNDATION (NPI# 1083148670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083148670 |
| Entity Type | Organization |
| Organization Name | THE DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
933 West Meadow Drive Bound Brook NJ 08805 |
| Mailing Address |
286 Mantua Grove Road West Deptford NJ 08066 |
| Practice Telephone | 8565996400 |
| Practice Fax Number | 8565996404 |
| Mailing Telephone | 8565996400 |
| Mailing Fax Number | 8565996404 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| 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 | GH1208 | 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 |
| 1730614017 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Skyline Drive, Sparta, NJ 07871 | 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 |
| 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 |
933 WEST MEADOW DRIVE |
| City | BOUND BROOK |
| State | NJ |
| Zip Code | 08805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141901 | Ngozi Asiegbulem | Licensed Practical Nurse | 411 C Lamonte Ave, Bound Brook, NJ 08805 | 2018-04-10 |
| 1376930453 | Capitol Care Inc. | Day Training, Developmentally Disabled Services | 2121 Route 22 West, Bound Brook, NJ 08805 | 2015-04-16 |
| 1821343328 | Bound Brook Rescue Squad, Inc. | Ambulance | 56 Van Keuren Ave, Bound Brook, NJ 08805 | 2012-07-20 |
| 1144575739 | Jersey Irish Medical | Clinic/Center | 601 W. Union Ave., Bound Brook, NJ 08805 | 2012-07-19 |
| 1932228194 | American Institute for Counseling Inc | Clinic/Center | 1952 Route 22 East, Bound Brook, NJ 08805 | 2007-03-28 |
| 1699827253 | Renee T Foster | Chiropractor | 207 West Union Avenue, Bound Brook, NJ 08805 | 2007-01-16 |
| 1407911597 | Elizabeth Wong | Pediatrics | 55 W Union Ave, Bound Brook, NJ 08805 | 2006-12-27 |
| 1609949239 | Kevin Michael Enright | Counselor | 305 East High Street, Suite 5, Bound Brook, NJ 08805 | 2006-11-15 |
| 1457434904 | Jack Baharlias | Psychologist | 1952 Rt 22 E, American Institute for Counseling Inc, Bound Brook, NJ 08805 | 2006-10-20 |
| 1548359151 | Edward B Krisiloff | Orthopaedic Surgery | 515 Church Street, Bound Brook, NJ 08805 | 2006-10-12 |
| Find all providers in zip 08805 | ||||
| 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 |
|---|---|---|---|---|
| 1386201390 | Eihab Human Services New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 W Union Ave # A, Bound Brook, NJ 08805-1335 | 2019-05-24 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1164934576 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 Watchung Rd, Bound Brook, NJ 08805-1409 | 2017-10-26 |
| 1477082014 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 642 Winsor St, Bound Brook, NJ 08805-1751 | 2017-06-07 |
| 1780119255 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 532 Helfin St, Bound Brook, NJ 08805-1276 | 2017-04-21 |
| 1629459649 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Longwood Ave, 1st Floor, Bound Brook, NJ 08805-1609 | 2015-06-16 |
| 1326428301 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 W Union Ave, Unit A, Bound Brook, NJ 08805-1335 | 2015-06-04 |
| 1841670809 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 W Union Ave, Unit B, Bound Brook, NJ 08805-1335 | 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 | ||||
| City | BOUND BROOK |
| Zip Code | 08805 |
Please comment or provide details below to improve the information on THE DEVEREUX FOUNDATION.
| 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.