PENNREACH (NPI# 1588229306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 Name | Type Code |
---|---|
PennReach | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1482 Rahway Avenue, Apt 106, Woodbridge, NJ 070010850 | 2154095519 |
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 |
Street Address |
1482 RAHWAY AVE APT 103 |
City | WOODBRIDGE |
State | NJ |
Zip Code | 07001 |
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 |
Find all providers in zip 07001 |
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 |
---|---|---|---|---|
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 |
City | WOODBRIDGE |
Zip Code | 07001 |
Please comment or provide details below to improve the information on PENNREACH.
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.