LEGACY TREATMENT SERIVCES, INC. (NPI# 1255842589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842589 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERIVCES, INC. |
| Practice Address |
25 Scotch Rd Ewing NJ 08628-2500 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092575656 |
| Mailing Telephone | 6092883067 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | SHABNAM SHARMA (CFO) |
| Authorized Official Telephone | 6092675656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891292918 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 252 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1851898969 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 254 Pine St, Mount Holly, NJ 08060-2207 | 2018-04-06 |
| 1730686825 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 659 Eayrestown Rd, Lumberton, NJ 08048-3177 | 2018-04-06 |
| 1144728221 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 246 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-24 |
| 1578061644 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 123 Hillside Dr, Robbinsville, NJ 08691-3614 | 2018-01-24 |
| 1306344478 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 417 Smithburg Ct, Jackson, NJ 08527-4444 | 2018-01-24 |
| 1952809121 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 250 Pine St, Mount Holly, NJ 08060-2207 | 2018-01-23 |
| 1518465764 | Legacy Treatment Serivces, Inc. | Psychiatric Residential Treatment Facility | 208 Fairmount Rd, Long Valley, NJ 07853-3013 | 2018-01-23 |
| 1821505827 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 68 Culver Rd Ste 170, Monmouth Junction, NJ 08852-2820 | 2017-12-29 |
| 1932699410 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 561 Tilton Rd, Northfield, NJ 08225-1217 | 2018-05-10 |
| Street Address |
25 SCOTCH RD |
| City | EWING |
| State | NJ |
| Zip Code | 08628-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326516436 | Onward Support Care Services | Community/Behavioral Health | 72 Theresa St, Ewing, NJ 08618-1531 | 2018-11-06 |
| 1235517723 | Arc Mercer, Inc | Community/Behavioral Health | 180 Ewingville Rd, Ewing, NJ 08638-2425 | 2015-05-15 |
| 1497181663 | Family Preservation Services | Community/Behavioral Health | 126 Blue Gray Road, Ewing, VA 24248 | 2013-09-19 |
| 1841427853 | Family Preservation Services, Inc | Community/Behavioral Health | Rr 2 Box 557, Ewing, VA 24248-9585 | 2009-06-17 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| 1225280688 | Family Preservation Services, Inc | Community/Behavioral Health | 2345 Old Highway 58, Ewing, VA 24248 | 2008-10-16 |
| 1194936880 | Covenant Community Develpoment Corp | Community/Behavioral Health | 1217 Rev S Howard Woodson Jr Way, Ewing, NJ 08638-4015 | 2007-05-24 |
| 1023527587 | The Arc/mercer Inc. | Community/Behavioral Health | 180 Ewingville Rd, Ewing, NJ 08638-2425 | 2017-09-27 |
| 1083099683 | Christopher Monroe | Community/Behavioral Health | 1340 Parkway Ave, Ewing, NJ 08628-3009 | 2015-07-23 |
| 1871984583 | Center for Counseling Services, LLC | Community/Behavioral Health | 850 Bear Tavern Road, Suite 305, Ewing, NJ 08628-2528 | 2015-02-17 |
| Find all providers in EWING | ||||
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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.