BANCROFT NEUROHEALTH


Address: 905 Eugenia Dr, Medford, NJ 08055
Phone: 8007745516

BANCROFT NEUROHEALTH (NPI# 1457887762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457887762
Entity Type Organization
Organization Name BANCROFT NEUROHEALTH
Other Organization Name BANCROFT-EUGENIA DR
Practice Address 905 Eugenia Dr
Medford
NJ 08055
Mailing Address 1255 Caldwell Rd
Cherry Hill
NJ 08034-3220
Practice Telephone 8007745516
Mailing Telephone 8563481181
Enumeration Date 2017-05-05
Last Update Date 2017-05-05
Authorized Official Name JAMES P HARTMAN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8563481181
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities TBI062 NJ Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Bancroft-Eugenia Dr Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 905 EUGENIA DR
City MEDFORD
State NJ
Zip Code 08055

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215406459 Natalia Eltabaa Nurse Practitioner 143b Atsion Rd, Medford, NJ 08055 2018-11-16
1922574326 Emily G Wilkins Psychiatry & Neurology 239 Taunton, A-2, Medford, NJ 08055 2018-10-23
1508348863 Gerald D Mingin Jr. Psychologist 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 2018-09-04
1316465750 Gabriella Marie Francis Specialist/Technologist 133 Apache Trail, Medford Lakes, NJ 08055 2017-09-06
1265968572 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Eugenia, Medford, NJ 08055 2017-05-05
1326574690 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1503 Cedar Dr, Medford, NJ 08055 2017-05-05
1780110007 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1610 Cedar Dr, Medford, NJ 08055 2017-05-05
1902332216 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1909 Cedar Dr, Medford, NJ 08055 2017-05-05
1083140396 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Eugenia Dr, Medford, NJ 08055 2017-05-05
1740716133 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1509 Cedar Dr, Medford, NJ 08055 2017-05-04
Find all providers in zip 08055

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134762065 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1703 Cedar Dr, Medford, NJ 08055-2322 2019-10-23
1164998340 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 707 Eugenia Dr, Medford, NJ 08055-2312 2018-10-16
1265968572 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Eugenia, Medford, NJ 08055 2017-05-05
1326574690 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1503 Cedar Dr, Medford, NJ 08055 2017-05-05
1780110007 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1610 Cedar Dr, Medford, NJ 08055 2017-05-05
1902332216 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1909 Cedar Dr, Medford, NJ 08055 2017-05-05
1083140396 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Eugenia Dr, Medford, NJ 08055 2017-05-05
1740716133 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1509 Cedar Dr, Medford, NJ 08055 2017-05-04
1831625227 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1701 Cedar Dr, Medford, NJ 08055 2017-05-04
1871029298 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 16 Oniontown Rd, Medford, NJ 08055 2017-05-04
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 08055

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Dataset Information

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.

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