THE ARC OF MONMOUTH, INC (NPI# 1609256015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609256015 |
| Entity Type | Organization |
| Organization Name | THE ARC OF MONMOUTH, INC |
| Practice Address |
64 Country Club Road Apt. 117 Eatontown NJ 07724 |
| Mailing Address |
1158 Wayside Road Tinton Falls NJ 07724 |
| Practice Telephone | 7325445596 |
| Practice Fax Number | 7325441641 |
| Mailing Telephone | 7324931919 |
| Mailing Fax Number | 7324933604 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | LINDA MAYO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7324931919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NJ | Residential Treatment Facilities | |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | SA196 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0462985 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 64 Country Club Road, Country Club Estates #117, #227, #249, Eatontown, NJ 07724 | 7325445596 | 7325441641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1467962571 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 111, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1255841367 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 112, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457427 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 113, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1225548415 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 207, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1679083869 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 212, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1285144485 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 214, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Street Address |
64 COUNTRY CLUB ROAD APT. 117 |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| 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 |
|---|---|---|---|---|
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1265956221 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road, Country Club Estates Apt 81, Eatontown, NJ 07724 | 2017-08-01 |
| 1083138945 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Country Club Road, Country Club Estates Apt 88, Eatontown, NJ 07724 | 2017-08-01 |
| 1770007734 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Country Club Road, Country Club Estates Apt 209, Eatontown, NJ 07724 | 2017-08-01 |
| 1710401674 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 64 Country Club Road, Country Club Estates Bldg 66 - Apt 139, Eatontown, NJ 07724 | 2017-08-01 |
| 1316471089 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Woodmere Drive, Eatontown, NJ 07724 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.