ELWYN NEW JERSEY (NPI# 1689236200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689236200 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Practice Address |
3239 Glassboro Cross Keys Rd Williamstown NJ 08094-3374 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8139 |
| Practice Telephone | 8567945300 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MR. HUSAM ABDALLAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567945300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELWYN NEW JERSEY |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457910002 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Williamson Ln, Mullica Hill, NJ 08062-4409 | 2019-06-07 |
| 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 |
| 1245791532 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 383 Whig Lane Rd, Pilesgrove, NJ 08098-3217 | 2019-03-28 |
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1518421684 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Spruce St, Glassboro, NJ 08028-3346 | 2019-01-23 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1932693959 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Franklin Rd, Glassboro, NJ 08028-1527 | 2018-06-22 |
| 1700375029 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Trimmel Ave, Franklinville, NJ 08322-2264 | 2018-05-02 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| Street Address |
3239 GLASSBORO CROSS KEYS RD |
| City | WILLIAMSTOWN |
| State | NJ |
| Zip Code | 08094-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
| 1558843920 | Ngozi Oluchi Amugo | Nurse Practitioner | 1005 Cezanne Ct, Williamstown, NJ 08094 | 2018-09-03 |
| 1962913111 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1767 Forest Drive, Williamstown, NJ 08094 | 2017-10-16 |
| 1841701091 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1848 Herbert Boulevard, Williamstown, NJ 08094 | 2017-10-16 |
| 1659747350 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community/Behavioral Health | 1040 North Tuckahoe Road, Tuckahoe House, Williamstown, NJ 08094 | 2015-08-17 |
| 1891161774 | Assoc. for Retarded Citizens. Inc. Gloucester County | Respite Care | 1036 North Tuckahoe Road, Camp Sun N' Fun, Williamstown, NJ 08094 | 2015-08-14 |
| 1972989184 | Ismile Dental Arts, PC | Clinic/Center | 368 Berlin Cross Keys Rd, Williamstown, NJ 08094 | 2015-08-11 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1144625468 | Lauren Degrazia | Behavioral Analyst | 1880 Glassboro Rd., Williamstown, NJ 08094 | 2014-10-29 |
| 1558601765 | Monroe Township Public School District | Local Education Agency (LEA) | 75 E. Academy Street, Williamstown, NJ 08094 | 2013-02-25 |
| Find all providers in zip 08094 | ||||
| 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 |
|---|---|---|---|---|
| 1891293056 | Linx Community Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1307 Williamstown Pike, Williamstown, WV 26187-8168 | 2018-01-23 |
| 1356852230 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Carroll Ave, Williamstown, NJ 08094-1714 | 2017-10-18 |
| 1811408792 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 641 Fries Mill Rd, Williamstown, NJ 08094-8743 | 2017-10-18 |
| 1255842209 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1544 Victory Ave, Williamstown, NJ 08094-4554 | 2017-10-17 |
| 1962913111 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1767 Forest Drive, Williamstown, NJ 08094 | 2017-10-16 |
| 1841701091 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1848 Herbert Boulevard, Williamstown, NJ 08094 | 2017-10-16 |
| 1174033948 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 901 Van Gogh Ct, Williamstown, NJ 08094-6378 | 2017-10-06 |
| 1255841029 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 903 Van Gogh Ct, Williamstown, NJ 08094-6378 | 2017-10-06 |
| 1356851117 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 907 Van Gogh Ct, Williamstown, NJ 08094-6378 | 2017-10-06 |
| 1710497573 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 911 Van Gogh Ct, Williamstown, NJ 08094-6378 | 2017-10-06 |
| Find all providers in WILLIAMSTOWN | ||||
| City | WILLIAMSTOWN |
| Zip Code | 08094 |
Please comment or provide details below to improve the information on ELWYN NEW JERSEY.
| 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.