SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC. (NPI# 1669991931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669991931 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC. |
| Practice Address |
406 Bell Rd Mount Ephraim NJ 08059-1709 |
| Mailing Address |
2500 Mcclellan Ave Ste 300 Pennsauken NJ 08109-0001 |
| Practice Telephone | 8563124090 |
| Mailing Telephone | 8563611100 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | THERESA WILSON (PRESIDENT/ CEO) |
| Authorized Official Telephone | 8566551211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 40301D050940 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ DMHAS | 40301D050940 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811416175 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 204 Homer Ave, Voorhees, NJ 08043-1039 | 2017-09-18 |
| 1871012138 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1127 N 35th St, Camden, NJ 08105-4327 | 2017-09-18 |
| 1174032346 | South Jersey Behavioral Health Resources, Inc. | Community/Behavioral Health | 400 Market St, Camden, NJ 08102-1526 | 2017-09-20 |
| 1679092951 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 555 Spruce St, Camden, NJ 08103-2134 | 2017-09-18 |
| 1427577865 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 614a Cherry St, Camden, NJ 08103-2321 | 2017-09-18 |
| 1306365671 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4 Egg Harbor Rd, Berlin, NJ 08009-2019 | 2017-09-18 |
| 1518486950 | South Jersey Behavioral Health Resources, Inc. | In Home Supportive Care | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2017-09-18 |
| Street Address |
406 BELL RD |
| City | MOUNT EPHRAIM |
| State | NJ |
| Zip Code | 08059-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502686 | Veronica Marie Craig | Counselor | 406 Bell Rd, Mount Ephraim, NJ 08059-1709 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780105163 | Angela Catherine Meluso-scafidi | Behavioral Analyst | 8 Lumber Lane, Mount Ephraim, NJ 08059 | 2017-07-06 |
| 1437349438 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 20 W Kings Hwy, Mount Ephraim, NJ 08059 | 2007-07-26 |
| 1093932543 | Robert Hojnowski | Pharmacist | 114 2nd Ave, Mt. Ephraim, NJ 08059 | 2007-04-19 |
| 1841356318 | Michelle Aitken | Dentist | 800 Black Horse Pike, West Collingswood Heights, NJ 08059 | 2006-12-29 |
| 1972687564 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7 South Black Horse Pike, Mount Ephraim, NJ 08059 | 2006-10-24 |
| 1154571099 | Affordable Dentures Audubon Michelle Sperry Dds Pa | Dentist | 800 Black Horse Pike, W Collingswood Heights, NJ 08059 | 2008-09-29 |
| 1952582462 | Hye-eun Kim | Dentist | 800 Black Horse Pike, W. Collingswood Heights, NJ 08059 | 2007-11-27 |
| 1306043740 | Donald George Spinelli | Dentist | 800 Black Horse Pike, W. Collingswood Heights, NJ 08059 | 2007-06-29 |
| 1215540927 | Jonathan Rhee | Pharmacist | 20 W Kings Hwy, Mount Ephraim, NJ 08059-1303 | 2020-08-24 |
| 1972870921 | Sean K Eang | Pharmacist | 20 W Kings Hwy, Mount Ephraim, NJ 08059-1303 | 2011-11-18 |
| Find all providers in zip 08059 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667284 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 1253 Inwood Ter, Fort Lee, NJ 07024-1741 | 2020-10-22 |
| 1891307047 | Royalty Family Services LLC | Community Based Residential Treatment Facility, Mental Illness | 4 Acorn Ct, Sicklerville, NJ 08081-9251 | 2020-08-19 |
| 1194368415 | Ginger Jones Jackson | Community Based Residential Treatment Facility, Mental Illness | 162 S Clinton St, East Orange, NJ 07018-3040 | 2019-10-18 |
| 1831741479 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Rte 47 N, Cape May Court House, NJ 08210-1714 | 2019-07-14 |
| 1104478742 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 60 Taras Ave, Westville, NJ 08093-2303 | 2019-07-14 |
| 1841842481 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 767 Washington Ave, Woodbury, NJ 08096-3546 | 2019-07-14 |
| 1487206025 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 731 Rattling Run Rd, Mickleton, NJ 08056-1423 | 2019-07-14 |
| 1669024204 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 244 Tomlin Station Rd, Mullica Hill, NJ 08062-1607 | 2019-07-14 |
| 1659923290 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3910 Bayshore Rd Apt I11, North Cape May, NJ 08204-3662 | 2019-07-14 |
| 1699233973 | Raviko Group LLC | Community Based Residential Treatment Facility, Mental Illness | 351 Myrtle St, Cliffwood, NJ 07721-1215 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT EPHRAIM |
| Zip Code | 08059 |
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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.