EASTERN CHRISTIAN CHILDREN'S RETREAT


Address: 116 Hillside Ave, Midland Park, NJ 07432-1700
Phone: 2014455530

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 116 HILLSIDE AVE
City MIDLAND PARK
State NJ
Zip Code 07432-1700

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MIDLAND PARK
Zip Code 07432

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Dataset Information

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.

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