EASTERN CHRISTIAN CHILDREN'S RETREAT (NPI# 1649702010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649702010 |
| Entity Type | Organization |
| Organization Name | EASTERN CHRISTIAN CHILDREN'S RETREAT |
| Practice Address |
1 Rockledge Rd Hawthorne NJ 07506 |
| Mailing Address |
700 Mountain Ave Wyckoff NJ 07481-1047 |
| Practice Telephone | 2018488005 |
| Mailing Telephone | 2018488005 |
| Mailing Fax Number | 2018479619 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | JAYNE PRESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2018488005 |
| 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 | GH2302 | NJ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752847 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 W Crescent Ave, Allendale, NJ 07401-1542 | 2019-07-19 |
| 1699292631 | Eastern Christian Children's Retreat | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 700 Mountain Ave., Wyckoff, NJ 07481-1047 | 2017-08-29 |
| 1447782164 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 W Crescent Ave, Allendale, NJ 07401-1503 | 2017-03-31 |
| 1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
| 1942686167 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 Belmont Ave, North Haledon, NJ 07508-2805 | 2015-08-11 |
| 1760868988 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 832 Mountain Ave, Wyckoff, NJ 07481-1061 | 2015-08-11 |
| 1851777072 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 644 Goffle Hill Rd, Hawthorne, NJ 07506-3038 | 2015-08-11 |
| 1821474222 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 98 Surrey Pl, Hawthorne, NJ 07506-3134 | 2015-08-07 |
| 1164808572 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Hillside Ave, Midland Park, NJ 07432-1700 | 2015-08-07 |
| 1316323710 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 277 N Haledon Ave, North Haledon, NJ 07508-2767 | 2015-08-07 |
| Street Address |
1 ROCKLEDGE RD |
| City | HAWTHORNE |
| State | NJ |
| Zip Code | 07506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851881262 | The Art of Listening Counselling Services LLC | Counselor | 96-98 Parmelee Ave, Hawthorne, NJ 07506 | 2018-05-11 |
| 1275034548 | Erika Hernandez | Social Worker | 121 Rea Avenue, Hawthorne, NJ 07506 | 2018-02-22 |
| 1598109332 | Belgica Rosario | Social Worker | 121 Rea Ave, Hawthorne, NJ 07506 | 2013-04-23 |
| 1972887842 | Kristina Leigh Kupryk | Physician Assistant | 245 Diamond Bridge Avenue, Hawthorne, NJ 07506 | 2011-10-10 |
| 1831322759 | Kerri Scully | Counselor | 135 Westervelt Ave., Hawthorne, NJ 07506 | 2009-08-26 |
| 1558507830 | Roger Earl White | Dentist | 623 Lafayette Avenue, Suite 1, Hawthorne, NJ 07506 | 2008-12-17 |
| 1639292410 | Lafayette Family Dentistry Mgmt Inc | Dentist | 540 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-04-09 |
| 1770609752 | Always There Inc | Home Health | 383 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-03-22 |
| 1407994247 | Anthony Michael Pallotta | Dentist | 164 Warburton Avenue, Hawthorne, NJ 07506 | 2007-02-02 |
| 1013025881 | Joseph W Montagnino | Internal Medicine | 625 Layfayette Avenue, Hawthorne, NJ 07506 | 2006-08-29 |
| Find all providers in zip 07506 | ||||
| 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 |
|---|---|---|---|---|
| 1104381383 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 1c, Hawthorne, NJ 07506-1763 | 2019-02-01 |
| 1144784042 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 N 8th St Apt 3, Hawthorne, NJ 07506-3804 | 2019-01-24 |
| 1235693136 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Wagner Pl Apt 2, Hawthorne, NJ 07506-1334 | 2019-01-24 |
| 1518439413 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 1b, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1376015263 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 2a, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1144792037 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 2b, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1861964751 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 2c, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1598237489 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 2d, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1770055675 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 2e, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| 1407328396 | New Jersey Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 N 10th St Apt 3a, Hawthorne, NJ 07506-1763 | 2018-12-18 |
| Find all providers in HAWTHORNE | ||||
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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.