WILLOWGLEN ACADEMY - NEW JERSEY. INC.


Address: 101 Holiday Lane, Montague, NJ 07827
Phone: 9735793700

WILLOWGLEN ACADEMY - NEW JERSEY. INC. (NPI# 1346625027) 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) 1346625027
Entity Type Organization
Organization Name WILLOWGLEN ACADEMY - NEW JERSEY. INC.
Other Organization Name WGA HOLIDY LANE
Practice Address 101 Holiday Lane
Montague
NJ 07827
Mailing Address 8 Wilson Drive
Sparta
NJ 07871-3491
Practice Telephone 9735793700
Practice Fax Number 9735791786
Mailing Telephone 9735793700
Mailing Fax Number 9735791786
Enumeration Date 2015-07-23
Last Update Date 2015-07-23
Authorized Official Name MRS. PATRICIA BATES (CONTROLLER)
Authorized Official Telephone 9735793700
Is Organization Subpart Y
Parent Organization Name WILLOWGLEN ACADEMY - NEW JERSEY. INC.

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
WGA Holidy Lane Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427519727 Willowglen Academy - New Jersey. Inc. Residential Treatment Facility, Emotionally Disturbed Children 357 Route 94, Newton, NJ 07860-5136 2019-03-28
1649731290 Willowglen Academy - New Jersey. Inc. Residential Treatment Facility, Emotionally Disturbed Children 22 Route 519, Newton, NJ 07860-6230 2019-03-27
1558852608 Willowglen Academy - New Jersey. Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4 Center St Apt 33, Sussex, NJ 07461-2145 2018-05-24
1700349057 Willowglen Academy - New Jersey. Inc. Residential Treatment Facility, Emotionally Disturbed Children 164 Demarest Road, Sparta, NJ 07871 2019-04-12
1730671686 Willowglen Academy - New Jersey. Inc. Psychiatry & Neurology 8 Wilson Dr, Sparta, NJ 07871-3400 2018-06-05
1861989436 Willowglen Academy - New Jersey. Inc. Day Training, Developmentally Disabled Services 4 Center Street, Apt 36, Sussex, NJ 07461 2018-04-18

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations WILLOWGLEN ACADEMY - NEW JERSEY, INC. 8 Wilson Drive, Sparta, NJ 07871

Office Location

Street Address 101 HOLIDAY LANE
City MONTAGUE
State NJ
Zip Code 07827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952934705 Monica G Perezlopez Technician 358 Rolling Ridge Road, Montague, NJ 07827 2020-02-20
1942686084 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 53a Deckertown Turnpike, Montague, NJ 07827 2015-07-30
1255716940 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 78 Clove Road, Montague, NJ 07827 2015-07-23
1477887370 Danny Innamorato Pharmacist 10 Route 23 North, Montague, NJ 07827 2009-09-24
1114071024 Sussex County Pediatric Associates Clinic/Center 2 Myrtle Drive, Montague, NJ 07827 2007-01-22
1619082492 Shoprite Supermarkets, Inc Pharmacy 10a Rt. 23, Tri State Mall, Montague, NJ 07827 2006-08-20
1538102157 Andover Orthopaedic Surgery Clinic/Center 452 Us Highway 206, Montague, NJ 07827 2006-06-13
1063463107 Sarah E Rome Physical Therapist 452 Us Hwy Rte 206, Montague, NJ 07827 2006-05-13
1386790467 Innocent Urayai Rwakonda Physical Therapist 218a Shore Drive, Montague, NJ 07827-0263 2007-01-25
1508052523 Michael G. Miller Psychologist 399 Clove Rd, Montague, NJ 07827-3014 2007-09-24
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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
1942686084 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 53a Deckertown Turnpike, Montague, NJ 07827 2015-07-30
1255716940 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 78 Clove Road, Montague, NJ 07827 2015-07-23

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 MONTAGUE
Zip Code 07827

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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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