THE DEVEREUX FOUNDATION (NPI# 1558895144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558895144 |
| Entity Type | Organization |
| Organization Name | THE DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
185 Statesville Quarry Road Lafayette NJ 07848 |
| Mailing Address |
286 Mantua Grove Road West Deptford NJ 08066 |
| Practice Telephone | 8565996400 |
| Practice Fax Number | 8565996404 |
| Mailing Telephone | 8565996400 |
| Mailing Fax Number | 8565996404 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8565996429 |
| 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 | GH1138 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0399507 | 05 |
| Other Name | Type Code |
|---|---|
| Devereux Advanced Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004568 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Greentree Rd, Sewell, NJ 08080-9354 | 2020-05-14 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1346759867 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 | 2017-09-27 |
| 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 |
| 1417482704 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1619402906 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1629503917 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1730614017 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Skyline Drive, Sparta, NJ 07871 | 2017-04-25 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE DEVEREUX FOUNDATION | 444 Devereux Dr, Villanova, PA 19085 |
| New York State Corporations | THE DEVEREUX FOUNDATION | 302 Washington Avenue Ext., Suite 3, Albany, New York 12203 |
| Street Address |
185 STATESVILLE QUARRY ROAD |
| City | LAFAYETTE |
| State | NJ |
| Zip Code | 07848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942842182 | Christina Kaylee Nied | Occupational Therapist | 156 Rt. 15 North, Lafayette, NJ 07848 | 2019-10-09 |
| 1356836142 | Jennifer Leigh Waters | Occupational Therapist | 156 Route 15 North, Lafayette, NJ 07848 | 2018-06-25 |
| 1619477379 | Jamie Lynn Torre | Occupational Therapist | 156 Nj-15, Lafayette, NJ 07848 | 2018-02-19 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1497007140 | Abby Wong Cheung | Occupational Therapist | 156 Route 15, Lafayette, NJ 07848 | 2012-10-04 |
| 1548546989 | Davina C Daura | Occupational Therapist | 156 Route -15, Lafayette, NJ 07848 | 2011-10-31 |
| 1093040701 | Marie M. Jackson | Dentist | 50 Route 15, Lafayette, NJ 07848 | 2009-10-14 |
| 1497828727 | Andover Subacute & Rehab Center Services One Inc | Durable Medical Equipment & Medical Supplies | 1 Obrien Lane, Lafayette, NJ 07848 | 2006-11-16 |
| 1063594836 | Mary Jean Negri | Chiropractor | 23 Route 15, Lafayette, NJ 07848 | 2006-10-20 |
| Find all providers in zip 07848 | ||||
| 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 |
|---|---|---|---|---|
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1487034567 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Valcourt Dr, Lafayette, NJ 07848-4624 | 2015-06-04 |
| 1285014357 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pelletown Rd, Lafayette, NJ 07848-3156 | 2015-06-04 |
| 1740660729 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Warbasse Junction Rd, Lafayette, NJ 07848-4406 | 2015-06-04 |
| 1972854925 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Guidry St, Lafayette, LA 70501-8738 | 2012-09-29 |
| 1114250255 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 Moss St Ste B, Lafayette, LA 70501-1268 | 2009-09-08 |
| 1639327992 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1602 W Pinhook Rd Ste 209, Lafayette, LA 70508-3735 | 2008-08-28 |
| 1154453140 | Aguillard & Associates, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Cedar Crest Ct, Lafayette, LA 70501-5525 | 2007-03-12 |
| 1750419941 | Colonel Joseph George & Saida Saloom Hannie Community Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 W Broussard Rd, Lafayette, LA 70506-7813 | 2007-03-01 |
| Find all providers in LAFAYETTE | ||||
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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.