ELWYN NEW JERSEY (NPI# 1124542618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124542618 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Practice Address |
308 Hilbert Dr Turnersville NJ 08012-1127 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8139 |
| Practice Telephone | 8563748719 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MR. HUSAM ABDALLAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567945300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELWYN NEW JERSEY |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236200 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3239 Glassboro Cross Keys Rd, Williamstown, NJ 08094-3374 | 2019-07-03 |
| 1457910002 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Williamson Ln, Mullica Hill, NJ 08062-4409 | 2019-06-07 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1245791532 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 383 Whig Lane Rd, Pilesgrove, NJ 08098-3217 | 2019-03-28 |
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1518421684 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Spruce St, Glassboro, NJ 08028-3346 | 2019-01-23 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1932693959 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Franklin Rd, Glassboro, NJ 08028-1527 | 2018-06-22 |
| 1700375029 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Trimmel Ave, Franklinville, NJ 08322-2264 | 2018-05-02 |
| Street Address |
308 HILBERT DR |
| City | TURNERSVILLE |
| State | NJ |
| Zip Code | 08012-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898550 | Caroline I Scott | In Home Supportive Care | 60 Lawrence Ln, Blackwood, NJ 08012 | 2020-07-17 |
| 1073154092 | Gina Marie Romano | Behavioral Analyst | 12 Braemar Ave, Blackwood, NJ 08012 | 2019-10-01 |
| 1245745777 | Chandler Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3408 Hight Street, Blackwood, NJ 08012 | 2017-12-06 |
| 1962917625 | Dpsp Health Care LLC | Home Health | 860 Rt. 168, Suite 207, Turners Ville, NJ 08012 | 2017-12-04 |
| 1871003103 | Sayana Modi LLC | Pharmacy | 460 Hurffville Crosskeys Rd, Tunersville, NJ 08012 | 2017-09-30 |
| 1427590827 | Cillo Chiropractic LLC | Chiropractor | 10 Woodlane Drive, Blackwood, NJ 08012 | 2016-11-16 |
| 1609327006 | Lena F Robinson | Registered Nurse | 435 Huffville Crosskeys Road, Turnersville, NJ 08012 | 2016-10-20 |
| 1316493026 | Partners In Homecare Services | In Home Supportive Care | 400 East Church St ., Blackwood, NJ 08012 | 2016-09-01 |
| 1710357710 | Wendy Hughes | Counselor | 900 Route 168 Ste B6, Turnersville, NJ 08012 | 2015-10-02 |
| 1043602337 | Erika White | Pharmacy Technician | 4001 State Route 42, Turnersville, NJ 08012 | 2015-02-24 |
| Find all providers in zip 08012 | ||||
| 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 |
|---|---|---|---|---|
| 1669000881 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Johnson Rd, Turnersville, NJ 08012-1723 | 2020-04-01 |
| 1568998805 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Concord Ct, Turnersville, NJ 08012-1011 | 2017-05-05 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| 1417337023 | Personalized Independent Living Opporuntities & Training Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 145 Hurffville Rd, Turnersville, NJ 08012-2401 | 2015-06-09 |
| 1659751840 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 800 Saratoga Ter, Turnersville, NJ 08012-1228 | 2015-06-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TURNERSVILLE |
| Zip Code | 08012 |
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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.