EASTERN CHRISTIAN CHILDREN'S RETREAT (NPI# 1164808572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164808572 |
Entity Type | Organization |
Organization Name | EASTERN CHRISTIAN CHILDREN'S RETREAT |
Practice Address |
116 Hillside Ave Midland Park NJ 07432-1700 |
Mailing Address |
700 Mountain Ave Wyckoff NJ 07481-1047 |
Practice Telephone | 2014455530 |
Mailing Telephone | 2018488005 |
Mailing Fax Number | 2018479619 |
Enumeration Date | 2015-08-07 |
Last Update Date | 2015-08-07 |
Authorized Official Name | JAYNE PRESS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2018488005 |
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 | SA898 | NJ | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932752847 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 W Crescent Ave, Allendale, NJ 07401-1542 | 2019-07-19 |
1699292631 | Eastern Christian Children's Retreat | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 700 Mountain Ave., Wyckoff, NJ 07481-1047 | 2017-08-29 |
1649702010 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Rockledge Rd, Hawthorne, NJ 07506 | 2017-04-03 |
1447782164 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 W Crescent Ave, Allendale, NJ 07401-1503 | 2017-03-31 |
1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
1942686167 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 Belmont Ave, North Haledon, NJ 07508-2805 | 2015-08-11 |
1760868988 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 832 Mountain Ave, Wyckoff, NJ 07481-1061 | 2015-08-11 |
1851777072 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 644 Goffle Hill Rd, Hawthorne, NJ 07506-3038 | 2015-08-11 |
1821474222 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 98 Surrey Pl, Hawthorne, NJ 07506-3134 | 2015-08-07 |
1316323710 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 277 N Haledon Ave, North Haledon, NJ 07508-2767 | 2015-08-07 |
Street Address |
116 HILLSIDE AVE |
City | MIDLAND PARK |
State | NJ |
Zip Code | 07432-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255897112 | Abilities Network LLC | Psychologist | 700 Godwin Avenue, Suite 120, Midland Park, NJ 07432 | 2019-02-15 |
1508264177 | Doctors Office of New Jersey, LLC | Clinic/Center | 85 Godwin Avenue, Midland Park, NJ 07432 | 2014-12-15 |
1992075469 | Vivian Dwyer | Counselor | 81 Park Ave., Misland Park, NJ 07432 | 2011-12-30 |
1417116542 | James Leon Hill | Veterinarian | 577 Godwin Ave, Midland Park, NJ 07432 | 2008-06-04 |
1831397520 | Eric D. Veenstra | Dentist | 44 Godwin Ave. Suite 200, Midland Park, NJ 07432 | 2007-07-05 |
1871797480 | Cynthia L. Picht | Counselor | 317 Godwin Ave Floor 3, Midland Park, NJ 07432 | 2007-06-14 |
1710029384 | Francis Vincent Natale | Chiropractor | 139 Godwin Ave, Midland Park, NJ 07432 | 2007-02-12 |
1992875967 | Thomas S Chobanian | Social Worker | 666 Godwin Ave, Suite 100, Midland Park, NJ 07432 | 2006-11-08 |
1013009596 | New Jersey Cvs Pharmacy LLC | Pharmacy | 85 Godwin Ave Midland Park Sc, Midland Park, NJ 07432 | 2006-09-29 |
1629173240 | Rahat Salamat | Internal Medicine | 44 Godwin Avenue, Suite 201, Midland Park, NJ 07432 | 2006-09-14 |
Find all providers in zip 07432 |
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 |
---|---|---|---|---|
1518348945 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Pine St, Midland Park, NJ 07432-1128 | 2015-06-11 |
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 | MIDLAND PARK |
Zip Code | 07432 |
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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.