LEGACY TREATMENT SERVICES, INC (NPI# 1457971269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457971269 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES, INC |
| Practice Address |
330 Salem Woodstown Rd Mannington NJ 08079-2034 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092675656 |
| Mailing Telephone | 6092675656 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | LISA BAILEY (BUSINESS ANALYST) |
| Authorized Official Telephone | 6092883169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188090 | Legacy Treatment Services, Inc | Community/Behavioral Health | 5401 Harding Hwy Ste 3, Mays Landing, NJ 08330-2243 | 2020-06-10 |
| 1992305965 | Legacy Treatment Services, Inc | Community/Behavioral Health | 330 Salem Woodstown Rd, Mannington, NJ 08079-2034 | 2020-10-29 |
| 1336707793 | Legacy Treatment Services, Inc | Community/Behavioral Health | 210 Route Us 9 S Ste 202, Marmora, NJ 08223-1271 | 2019-05-31 |
| 1487047395 | Legacy Treatment Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1289 Route 38, #203, Hainesport, NJ 08036-2730 | 2015-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
330 SALEM WOODSTOWN RD |
| City | MANNINGTON |
| State | NJ |
| Zip Code | 08079-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305965 | Legacy Treatment Services, Inc | Community/Behavioral Health | 330 Salem Woodstown Rd, Mannington, NJ 08079-2034 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305965 | Legacy Treatment Services, Inc | Community/Behavioral Health | 330 Salem Woodstown Rd, Mannington, NJ 08079-2034 | 2020-10-29 |
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| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MANNINGTON |
| Zip Code | 08079 |
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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.