SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES (NPI# 1497133094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497133094 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES |
| Practice Address |
2500 Mcclellan Ave Ste 300 Pennsauken NJ 08109-0001 |
| Mailing Address |
7 Hickory Ct Apt C Maple Shade NJ 08052-1950 |
| Practice Telephone | 8563611100 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | MISS DELILAH DRAGON (LPN) |
| Authorized Official Telephone | 8565773964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 26NP05063800 | NJ | Nursing & Custodial Care Facilities |
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 26NP05603800 | NJ | Nursing & Custodial Care Facilities |
| Street Address |
2500 MCCLELLAN AVE STE 300 |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08109-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518098656 | Kathleen R. Walters | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2007-03-08 |
| 1194358788 | Shana Cullen | Social Worker | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2020-02-21 |
| 1437716974 | Jill Hall | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2019-05-21 |
| 1932689056 | Patricia Loretta Collins | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2018-08-17 |
| 1235626425 | Elizabeth Mae Hopkins | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2018-04-13 |
| 1518486950 | South Jersey Behavioral Health Resources, Inc. | In Home Supportive Care | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2017-09-18 |
| 1790201986 | Jacqueline Boyd | Licensed Practical Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2017-08-18 |
| 1386170298 | Lakisha Rozier | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2017-05-11 |
| 1316393317 | Lisa Fitzpatrick-grant | Registered Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2016-05-09 |
| 1275906349 | Lasandra Smalley | Licensed Practical Nurse | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475514 | Francis Guenther | Intermediate Care Facility, Mental Illness | 425 Mechlin Corner Rd, Pittstown, NJ 08867-5015 | 2014-07-22 |
| 1104870161 | Inspira Medical Centers, Inc. | Intermediate Care Facility, Mental Illness | 333 Irving Avenue, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 1922194331 | Christian Health Care Center | Intermediate Care Facility, Mental Illness | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
| 1366490336 | Matheny School and Hospital | Intermediate Care Facility, Mental Illness | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-05-04 |
| City | PENNSAUKEN |
| Zip Code | 08109 |
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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.