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).
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. |
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 Name | Type Code |
---|---|
WGA Holidy Lane | Other Name - Individual/Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | WILLOWGLEN ACADEMY - NEW JERSEY, INC. | 8 Wilson Drive, Sparta, NJ 07871 |
Street Address |
101 HOLIDAY LANE |
City | MONTAGUE |
State | NJ |
Zip Code | 07827 |
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 |
Find all providers in zip 07827 |
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 |
---|---|---|---|---|
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 |
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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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.