HOLLYDELL, INC. (NPI# 1669984696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669984696 |
| Entity Type | Organization |
| Organization Name | HOLLYDELL, INC. |
| Practice Address |
2384 E Landis Ave Vineland NJ 08361-2964 |
| Mailing Address |
610 Holly Dell Dr Sewell NJ 08080-9120 |
| Practice Telephone | 8565825151 |
| Mailing Telephone | 8565825151 |
| Mailing Fax Number | 8565825055 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | GRACANNE H RYAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8565825151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0487139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911871 | Hollydell, Inc. | Day Training, Developmentally Disabled Services | 51 Charles IIi Dr, Glassboro, NJ 08028-2867 | 2016-05-26 |
| 1891165163 | Hollydell, Inc. | Day Training, Developmentally Disabled Services | 303 Holly Dell Dr, Sewell, NJ 08080-9185 | 2015-09-30 |
| 1235513961 | Hollydell, Inc. | Day Training, Developmentally Disabled Services | 328b North Broadway, Pennsville, NJ 08071 | 2015-07-13 |
| 1134563505 | Hollydell, Inc. | In Home Supportive Care | 610 Holly Dell Dr, Sewell, NJ 08080-9120 | 2013-04-29 |
| 1639513336 | Hollydell, Inc. | Day Training, Developmentally Disabled Services | 11 Parke Place Blvd, Sewell, NJ 08080-2664 | 2013-04-24 |
| Street Address |
2384 E LANDIS AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08361-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205200755 | Caringhouse Projects, Inc | Respite Care | 1702 Gardner Street, Apt 3a & 3b, Vineland, NJ 08361 | 2015-11-20 |
| 1588038038 | Caringhouse Projects, Inc | Respite Care | 5191 East Chestnut Avenue, Vineland, NJ 08361 | 2015-11-20 |
| 1568835593 | Caringhouse Projects, Inc | Respite Care | 1718 Gardner Street, Apts 1 & 2, Vineland, NJ 08361 | 2015-11-13 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1851774665 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 6, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1629466438 | Jadira Carlo | Counselor | Gardner Street Supervised Aparment, Vineland, NJ 08361 | 2014-12-31 |
| 1699080226 | John Platanella Jr. | Pharmacist | 1889 South Lincoln Ave., Rite Aid #10490, Vineland, NJ 08361 | 2010-08-06 |
| 1003982729 | Sheldon Vischer Smith Sr. | Internal Medicine | 1676 E Landis Avenue, Vineland, NJ 08361 | 2006-11-27 |
| 1689760951 | Tom A Tassakis | Internal Medicine | 1550 E Chestnut Ave, Building 4 Suite D, Vineland, NJ 08361 | 2006-10-05 |
| Find all providers in zip 08361 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1346690765 | Aw Holdings LLC | Day Training, Developmentally Disabled Services | 610 E Landis Ave, Vineland, NJ 08360-8024 | 2016-06-16 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1851774665 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 6, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| 1184065039 | Treehouse Community Supports | Day Training, Developmentally Disabled Services | 20b Coney Ave, Vineland, NJ 08360-4516 | 2013-07-08 |
| 1467895003 | Treehouse Community Supports,llc | Day Training, Developmentally Disabled Services | 20 Coney Ave, B, Vineland, NJ 08360-4516 | 2013-04-13 |
| 1427394857 | Pafacom, Inc. | Day Training, Developmentally Disabled Services | 1301 W Forest Grove Rd, Vineland, NJ 08360-1501 | 2012-12-12 |
| 1780067595 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building B, Vineland, NJ 08360 | 2015-06-30 |
| Find all providers in VINELAND | ||||
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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.