DEVEREUX FOUNDATION (NPI# 1174909469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174909469 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
370 Campus Dr Suite 120 Somerset NJ 08873-1128 |
| Mailing Address |
286 Mantua Grove Rd Building #4 West Deptford NJ 08066-1738 |
| Practice Telephone | 8565996400 |
| Practice Fax Number | 8565996404 |
| Mailing Telephone | 8565996400 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MRS. CAROLE CIRUCCI (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6105423084 |
| 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 | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0399507 | 05 |
| Other Name | Type Code |
|---|---|
| Devereux Advanced Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1205494978 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 | 2019-05-29 |
| 1023675808 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 | 2019-05-28 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1609333194 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Creek Ln, Mount Royal, NJ 08061-1039 | 2019-02-21 |
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1326512476 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bloss Rd, Canadensis, PA 18325-4741 | 2019-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DEVEREUX FOUNDATION, INC., THE | 81 Sabbaday La, Washington, CT 06793 |
| Street Address |
370 CAMPUS DR SUITE 120 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226307 | Priority Medical Care | Registered Nurse | 370 Campus Dr, Somerset, NJ 08873 | 2005-09-23 |
| 1134607617 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 370 Campus Dr, Somerset, NJ 08873-1128 | 2018-08-06 |
| 1770061244 | American Current Care of New Jersey Pa | Clinic/Center | 370 Campus Dr, Somerset, NJ 08873-1128 | 2018-08-06 |
| 1992283238 | Sanah T Gohar | Speech-Language Pathologist | 370 Campus Dr, Somerset, NJ 08873-1128 | 2018-07-30 |
| 1265969810 | Maria Schembari | Speech-Language Pathologist | 370 Campus Dr, Somerset, NJ 08873-1128 | 2017-05-15 |
| 1275068942 | Samantha Seidel | Speech-Language Pathologist | 370 Campus Dr, Suite 101, Somerset, NJ 08873-1128 | 2017-05-01 |
| 1013466317 | U.S. Healthworks Medical Group of New Jersey, PC | Preventive Medicine | 370 Campus Dr, Somerset, NJ 08873-1128 | 2016-09-27 |
| 1215348818 | Colors Academy LLC | Behavioral Analyst | 370 Campus Dr, Suite 103, Somerset, NJ 08873-1128 | 2014-05-16 |
| 1811155393 | Rainbow Healthcare Inc. | Clinic/Center | 370 Campus Dr, Suite # 114, Somerset, NJ 08873-1128 | 2008-05-30 |
| 1235313446 | Pediatric and Adult Rehabilitation Center, LLC | Physical Therapist | 370 Campus Dr, Suite 101, Somerset, NJ 08873-1128 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| 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 |
|---|---|---|---|---|
| 1730713991 | Letscare Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Hempstead Dr, Somerset, NJ 08873-3942 | 2020-02-26 |
| 1740840925 | Infinite Abilities & Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 N Highway 1247, Somerset, KY 42503-4601 | 2019-06-19 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1427550995 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Kuhn St, Somerset, NJ 08873-3356 | 2018-03-01 |
| 1497260756 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Berger St, Somerset, NJ 08873-3365 | 2017-12-08 |
| 1104338904 | Community Options Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Glastonbury Ln, Somerset, NJ 08873-4932 | 2017-11-02 |
| 1518482314 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Buffa Dr, Somerset, NJ 08873-2752 | 2017-08-14 |
| 1194252403 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 251 Berger St, Somerset, NJ 08873-2861 | 2017-05-17 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| 1144755513 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Jfk Boulevard, Unit 7g, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in SOMERSET | ||||
Please comment or provide details below to improve the information on DEVEREUX FOUNDATION.
| 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.