BANCROFT NEUROHEALTH (NPI# 1407412158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407412158 |
| Entity Type | Organization |
| Organization Name | BANCROFT NEUROHEALTH |
| Practice Address |
313 Lincoln Ave Paulsboro NJ 08066-1132 |
| Mailing Address |
1255 Caldwell Rd Cherry Hill NJ 08034-3220 |
| Practice Telephone | 8007745516 |
| Practice Fax Number | 8564294755 |
| Mailing Telephone | 8563481221 |
| Mailing Fax Number | 8563758358 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | JAMES HARTMAN (CFO) |
| Authorized Official Telephone | 8563481196 |
| 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 |
| Other Name | Type Code |
|---|---|
| Bancroft neurohealth-313 Lincoln Av | 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 |
313 LINCOLN AVE |
| City | PAULSBORO |
| State | NJ |
| Zip Code | 08066-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104206119 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659446169 | Delaware Valley Physicians & Surgeons | Specialist | 559 Mantua Ave, Paulsboro, NJ 08066 | 2006-11-21 |
| 1114954054 | Anthony William Villare | Family Medicine | 560 Mantua Ave, Paulsboro, NJ 08066 | 2006-06-27 |
| 1336182013 | Steven Andrew Litz | Specialist | 600 Jessup Road, Ste 102, West Deptford, NJ 08066 | 2006-06-13 |
| 1760721682 | Board of Education of The Borough of Paulsboro | Local Education Agency (LEA) | 662 N Delaware St, Paulsboro, NJ 08066-1020 | 2013-02-13 |
| 1295837722 | Gloucester Physical Therapy, PC | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2006-09-04 |
| 1326190653 | Maikutlo B Kebaetse | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2007-01-17 |
| 1922029115 | Dr.gary B Budman and Associates | Dentist | 737 Billings Ave, Paulsboro, NJ 08066-1216 | 2006-07-22 |
| 1174546311 | Gary Bruce Budman | Dentist | 737 Billings Ave, Paulsboro, NJ 08066-1216 | 2006-07-26 |
| 1538338090 | Camcare Health Corporation | Clinic/Center | 1315 N Delaware St, Paulsboro, NJ 08066-1367 | 2008-02-28 |
| Find all providers in zip 08066 | ||||
| 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 |
|---|---|---|---|---|
| 1104206119 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2015-06-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.