PENNREACH


Address: 1482 Rahway Ave, Apt 103, Woodbridge, NJ 07001
Phone: 2154095519

PENNREACH (NPI# 1588229306) 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) 1588229306
Entity Type Organization
Organization Name PENNREACH
Other Organization Name PENNREACH
Practice Address 1482 Rahway Ave
Apt 103
Woodbridge
NJ 07001
Mailing Address 18 S Main St
Allentown
NJ 08501-1610
Practice Telephone 2154095519
Mailing Telephone 2154095519
Enumeration Date 2019-05-07
Last Update Date 2019-07-16
Authorized Official Name KRYSTAL ODELL (CEO)
Authorized Official Telephone 2154095519
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 Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
PennReach Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1482 Rahway Avenue, Apt 106, Woodbridge, NJ 070010850 2154095519

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912525825 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Truman Square, Apt 1109, Edison, NJ 08817 2020-07-07
1841845690 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Waker Avenue, Allentown, NJ 08501-0850 2019-08-08
1144875071 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 810, Fort Lee, NJ 07024-6909 2019-08-07
1053966986 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 812, Fort Lee, NJ 07024-6909 2019-08-07
1417502345 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 814, Fort Lee, NJ 07024-6909 2019-08-07
1376198275 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 910, Fort Lee, NJ 07024-6909 2019-08-07
1245885185 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 912, Fort Lee, NJ 07024-6909 2019-08-07
1497300354 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 914, Fort Lee, NJ 07024-6909 2019-08-07
1326693284 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 1008, Fort Lee, NJ 07024-6909 2019-08-07
1144875006 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Main St Apt 1010, Fort Lee, NJ 07024-6909 2019-08-07

Office Location

Street Address 1482 RAHWAY AVE
APT 103
City WOODBRIDGE
State NJ
Zip Code 07001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720689516 Janice Belarmino Counselor 22 5th Ave, Avenel, NJ 07001 2020-11-06
1396300117 Pennreach Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, Apt 227, Avenel, NJ 07001 2019-05-07
1538672746 Speaking Out Speech and Language Services LLC Speech-Language Pathologist 1162 St. George's Avenue Pmb 278, Avenel, NJ 07001 2017-11-09
1013450717 Nj Smiles of Woodbridge Dentist 1170 St.georges Ave, Avenel, NJ 07001 2016-11-29
1881136653 Firstcare Pharmacy LLC Pharmacy 517 Avenel St, Avenel, NJ 07001 2016-11-10
1619368644 Violet Christopher Monis Nurse Practitioner 62 Remsen Ave, Avenel, NJ 07001 2015-02-12
1902054877 Harji M Ladani Dentist 1100 Woodbridge Ave, East Jersey State Prison, Evenel, NJ 07001 2008-09-04
1154500205 Kathleen P Hilliard Audiologist-Hearing Aid Fitter 1275 Rahway Ave, Avenel, NJ 07001 2007-10-25
1154498111 Giuseppe Romano Chiropractor 1030 St George Ave, Suite 202, Avenel, NJ 07001 2006-11-28
1407935877 Thomas Edward Rumage Dentist 335 Avenel St, Avenel, NJ 07001 2006-11-04
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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
1891327417 Perfect Home Support, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13662 Office Pl Ste 104, Woodbridge, VA 22192-4217 2020-02-11
1164076790 Home Away Residential Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4304 Eldorado Dr, Woodbridge, VA 22193-2716 2019-07-31
1831755958 Blessed Support Professionals, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14511 Jefferson Davis Hwy # A, Woodbridge, VA 22191-2807 2019-05-14
1942800594 E & E Residential Support Professionals LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15337 Barnabas Trl, Woodbridge, VA 22193-5566 2020-10-30
1871113936 Applied Group Home Solutions LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1986 Opitz Blvd, Woodbridge, VA 22191-3304 2020-04-19
1740834068 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, Apt 227, Woodbridge, NJ 17001-0850 2019-07-25
1285288688 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, Apt. 106, Woodbridge, NJ 17001 2019-07-25
1689227019 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, Apt 117, Woodbridge, NJ 17001-0850 2019-07-24
1497308829 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, Apt 113, Woodbridge, NJ 08501-0850 2019-07-24
1790338119 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1482 Rahway Avenue, 104, Woodbridge, NJ 17001-0850 2019-07-24
Find all providers in WOODBRIDGE

Competitor

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City WOODBRIDGE
Zip Code 07001

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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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