ARC OF CAMDEN COUNTY CHANTICLEER DRIVE SUPPORTED LIVING (NPI# 1144748120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144748120 |
| Entity Type | Organization |
| Organization Name | ARC OF CAMDEN COUNTY CHANTICLEER DRIVE SUPPORTED LIVING |
| Practice Address |
712 Chanticleer Drive Cherry Hill NJ 08034 |
| Mailing Address |
215 W White Horse Pike Berlin NJ 08009-1132 |
| Practice Telephone | 8567673807 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | THOMAS MANNION (CFO) |
| Authorized Official Telephone | 8567673807 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARC OF CAMDEN COUNTY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
712 CHANTICLEER DRIVE |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1851826556 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Iron Master Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144791054 | Crossroads Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 105 Crooked Ln, Cherry Hill, NJ 08034-1131 | 2018-12-17 |
| 1467987941 | Qmanj, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309 Surrey Rd, Cherry Hill, NJ 08002-1542 | 2017-04-21 |
| 1013442599 | Qmanj, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1402 Longfellow Dr, Cherry Hill, NJ 08003-3516 | 2017-04-21 |
| 1841682291 | Bancroft | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1255 Caldwell Rd, Cherry Hill, NJ 08034 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
| 1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| 1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
| 1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
| 1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| 1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
Please comment or provide details below to improve the information on ARC OF CAMDEN COUNTY CHANTICLEER DRIVE SUPPORTED LIVING.
| 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.