DEVEREUX FOUNDATION (NPI# 1356969679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356969679 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Practice Address |
100 Genuardi Circle West Chester PA 19380 |
| Mailing Address |
390 East Boot Road 100 Genuardi Circle West Chester PA 19380 |
| Practice Telephone | 6104318000 |
| Mailing Telephone | 6104318000 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JESSICA KALBACH (REIMBURSEMENT ANALYST) |
| Authorized Official Telephone | 6105423042 |
| 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 |
| 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 |
| 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 |
| 1598239667 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-11 |
| Street Address |
100 GENUARDI CIRCLE |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| 1568886018 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 629 Overlook Drive, West Whitland Towns, PA 19380 | 2014-02-04 |
| Find all providers in zip 19380 | ||||
| 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 |
|---|---|---|---|---|
| 1043694318 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Colwyn Ter, West Chester, PA 19380-2106 | 2015-07-16 |
| 1063804466 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 791b King Rd, West Chester, PA 19380-1418 | 2015-02-23 |
| 1699199091 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Dr, West Chester, PA 19380-1303 | 2014-02-06 |
| 1427470681 | Resources for Human Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3312 Valley Dr, West Chester, PA 19382-6300 | 2014-01-07 |
| 1831526409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 791a King Rd, West Chester, PA 19380-1418 | 2013-09-27 |
| 1396179628 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 984 Roundhouse Ct, 2012 Renaissance Boulevard, West Chester, PA 19380-1703 | 2013-08-22 |
| 1831467158 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Corwen Ter, West Chester, PA 19380-1145 | 2011-12-01 |
| 1124687637 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1325 Ship Rd, West Chester, PA 19380-1335 | 2019-06-08 |
| 1407233141 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 390 E Boot Rd, 101 Genuardi Circle, West Chester, PA 19380-1222 | 2015-05-01 |
| 1558795294 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Corwen Ter, West Chester, PA 19380-1145 | 2013-08-29 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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.