THE DEVEREUX FOUNDATION (NPI# 1356875934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356875934 |
Entity Type | Organization |
Organization Name | THE DEVEREUX FOUNDATION |
Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
Practice Address |
1014 Palisade Avenue Teaneck NJ 07666 |
Mailing Address |
286 Mantua Grove Road West Deptford NJ 08066 |
Practice Telephone | 8565996400 |
Practice Fax Number | 8565996404 |
Mailing Telephone | 8565996400 |
Mailing Fax Number | 8565996404 |
Enumeration Date | 2017-04-20 |
Last Update Date | 2017-04-20 |
Authorized Official Name | MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE) |
Authorized Official Telephone | 8565996429 |
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 | GH682 | NJ | 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 |
---|---|---|---|---|
1760004568 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Greentree Rd, Sewell, NJ 08080-9354 | 2020-05-14 |
1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
1346759867 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 | 2017-09-27 |
1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
1417482704 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1619402906 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1629503917 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
1730614017 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Skyline Drive, Sparta, NJ 07871 | 2017-04-25 |
1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | THE DEVEREUX FOUNDATION | 444 Devereux Dr, Villanova, PA 19085 |
New York State Corporations | THE DEVEREUX FOUNDATION | 302 Washington Avenue Ext., Suite 3, Albany, New York 12203 |
Street Address |
1014 PALISADE AVENUE |
City | TEANECK |
State | NJ |
Zip Code | 07666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
1760937866 | Alison Elizabeth Dripchak | Physician Assistant | 741 Teaneck Road, Suite B, Teaneck, NJ 07666 | 2016-08-18 |
Find all providers in zip 07666 |
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 |
---|---|---|---|---|
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 |
1558983155 | Women's League Community Residences, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 265 Cedar Ln Fl 2, Teaneck, NJ 07666-3444 | 2020-05-18 |
1649734021 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1495 E Terrace Cir Apt 2, Teaneck, NJ 07666-5224 | 2019-01-30 |
1992217798 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Ayers Ct Apt 1a, Teaneck, NJ 07666-5129 | 2017-11-02 |
1871002873 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Hillside Ave, Teaneck, NJ 07666-4010 | 2017-09-22 |
1518492792 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Ayers Ct Apt 1a, Teaneck, NJ 07666-5133 | 2017-04-26 |
1225563588 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Ayers Ct, Apt 1b, Teaneck, NJ 07666-5145 | 2017-04-25 |
1457886004 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1390 Hill St, Apt 1b, Teaneck, NJ 07666-5123 | 2017-04-20 |
1134653736 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 Pinewood Pl, Teaneck, NJ 07666-4921 | 2017-04-20 |
1205361870 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir, Apt 2, Teaneck, NJ 07666-5230 | 2017-04-20 |
Find all providers in TEANECK |
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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.