BANCROFT NEUROHEALTH (NPI# 1396271896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396271896 |
| Entity Type | Organization |
| Organization Name | BANCROFT NEUROHEALTH |
| Other Organization Name | BANCROFT-SADDLE LANE |
| Practice Address |
24 Saddle Lane Cherry Hill NJ 08002 |
| Mailing Address |
1255 Caldwell Rd Cherry Hill NJ 08034-3220 |
| Practice Telephone | 8007745516 |
| Mailing Telephone | 8563481181 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | JAMES P HARTMAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8563481181 |
| 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 | GH569 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bancroft-Saddle Lane | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329336 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Villinger Ave, Cinnaminson, NJ 08077-2934 | 2020-09-03 |
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1891325908 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 347 Walton Ave, Mount Laurel, NJ 08054-9579 | 2020-01-17 |
| 1891335139 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 993 Shadow Oaks Dr, Toms River, NJ 08753-3531 | 2020-01-15 |
| 1134762065 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Cedar Dr, Medford, NJ 08055-2322 | 2019-10-23 |
| 1932740883 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4104 Hamilton Dr, Voorhees, NJ 08043-3121 | 2019-10-02 |
| 1184187437 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3208 Avalon Ct, Voorhees, NJ 08043-4649 | 2019-04-12 |
| 1285194878 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1811 Kresson Rd, Cherry Hill, NJ 08003-2528 | 2019-03-21 |
| 1164998340 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Eugenia Dr, Medford, NJ 08055-2312 | 2018-10-16 |
| 1972080059 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hessian Way, Cherry Hill, NJ 08003-2615 | 2018-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANCROFT NEUROHEALTH, A NEW JERSEY NONPROFIT CORPORATION | 1255 Caldwell Rd, Cherry Hill, NJ 08034-3220 |
| Street Address |
24 SADDLE LANE |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| 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 |
|---|---|---|---|---|
| 1285194878 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1811 Kresson Rd, Cherry Hill, NJ 08003-2528 | 2019-03-21 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1972080059 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hessian Way, Cherry Hill, NJ 08003-2615 | 2018-07-23 |
| 1245749639 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Mckinley Rd, Cherry Hill, NJ 08002-1127 | 2017-09-28 |
| 1487172367 | Arc of Camden County Cooper Landing Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Cooper Landing Rd Unit 218, Cherry Hill, NJ 08002-2535 | 2017-08-31 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1750809745 | Arc of Camden County Cooper Landing Su | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 836 Cooper Landing Rd Apt 216e, Cherry Hill, NJ 08002-1742 | 2017-08-30 |
| 1154845949 | Arc of Camden County- Cooper Landing Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Cooper Landing Rd Unit 229, Cherry Hill, NJ 08002-2512 | 2017-08-02 |
| 1528582327 | Arc of Camden County- Blossom Towers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Cooper Landing Rd Apt A203, Cherry Hill, NJ 08002-1781 | 2017-08-02 |
| 1346764131 | Arc of Camden County- Blossom Towers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Cooper Landing Rd Apt A304, Cherry Hill, NJ 08002-1783 | 2017-08-02 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.