ADVOSERV OF NEW JERSEY, INC. (NPI# 1164934576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164934576 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
805 Watchung Rd Bound Brook NJ 08805-1409 |
| Mailing Address |
510 Heron Dr Ste 114 Swedesboro NJ 08085-1767 |
| Practice Telephone | 8562413320 |
| Mailing Telephone | 8562413320 |
| Mailing Fax Number | 8562413321 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | MICHAEL WILDER (SENIOR VP OF OPERATIONS) |
| Authorized Official Telephone | 8562413320 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0463591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225593098 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 340 S Branch Rd Ste 440, Hillsborough, NJ 08844-3433 | 2019-02-06 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1578055216 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 S Hook Rd, Pennsville, NJ 08070-2359 | 2018-05-30 |
| 1497244099 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Branch Rd, Bridgewater, NJ 08807-2115 | 2018-05-09 |
| 1750870358 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Glenwood Ct, Vineland, NJ 08361-8510 | 2018-05-09 |
| 1932698537 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Tomlin Station Rd, Gibbstown, NJ 08027-1261 | 2018-05-09 |
| 1679062392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Castle Dr, Pennsville, NJ 08070-2419 | 2018-05-08 |
| 1649769373 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 Mcclain Dr, Vineland, NJ 08361-6138 | 2018-05-08 |
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| Street Address |
805 WATCHUNG RD |
| City | BOUND BROOK |
| State | NJ |
| Zip Code | 08805-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487211207 | Eihab Human Services New Jersey, Inc. | Case Management | 805 Watchung Rd, Bound Brook, NJ 08805-1409 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141901 | Ngozi Asiegbulem | Licensed Practical Nurse | 411 C Lamonte Ave, Bound Brook, NJ 08805 | 2018-04-10 |
| 1083148670 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 933 West Meadow Drive, Bound Brook, NJ 08805 | 2017-04-20 |
| 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 |
| 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 |
| 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 |
| 1083148670 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 933 West Meadow Drive, Bound Brook, NJ 08805 | 2017-04-20 |
| 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 |
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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.