THE DEVEREUX FOUNDATION


Address: 21 Garrison Avenue, Hasbrouck Heights, NJ 07604
Phone: 8565996400

THE DEVEREUX FOUNDATION (NPI# 1700310380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700310380
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 21 Garrison Avenue
Hasbrouck Heights
NJ 07604
Mailing Address 286 Mantua Grove Road
West Deptford
NJ 08066
Practice Telephone 8565996400
Practice Fax Number 8565996404
Mailing Telephone 8565996400
Mailing Fax Number 8565996404
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE)
Authorized Official Telephone 8565996429
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH680 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0399507 05

Other Provider/Organization Names

Other Name Type Code
Devereux Advanced Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760004568 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Greentree Rd, Sewell, NJ 08080-9354 2020-05-14
1700425287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 2019-12-31
1346759867 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 2017-09-27
1295261683 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 2017-05-04
1417482704 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 26 Aspen Hill, Deptford, NJ 08096 2017-04-25
1619402906 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 27 Aspen Hill, Deptford, NJ 08096 2017-04-25
1629503917 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 28 Aspen Hill, Deptford, NJ 08096 2017-04-25
1376078642 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 2017-04-25
1730614017 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 48 Skyline Drive, Sparta, NJ 07871 2017-04-25
1326573601 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 Heritage Court, Pennington, NJ 08534 2017-04-25

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations THE DEVEREUX FOUNDATION 444 Devereux Dr, Villanova, PA 19085
New York State Corporations THE DEVEREUX FOUNDATION 302 Washington Avenue Ext., Suite 3, Albany, New York 12203

Office Location

Street Address 21 GARRISON AVENUE
City HASBROUCK HEIGHTS
State NJ
Zip Code 07604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164991865 Delcalzo Spine and Wellness Center Chiropractor 75 Nj -17, Hasbrouck Heights, NJ 07604 2018-11-26
1114382579 David Morin Pharmacist 230 Walter Ave, Pharmex Pharmacy, Hasbrouck Heights, NJ 07604 2015-12-29
1275817439 Evan D. Sehgal, Md Pa Internal Medicine 777 Terrace Avenue, Suite 311, Hasbrouck Heights, NJ 07604 2011-10-06
1477837110 Eileen Delaney Psychiatry & Neurology 201 Oldfield Ave, Hasbrouck Heights, NJ 07604 2011-09-29
1740416213 Rachel J Galas Massage Therapist 209 Springfield Ave, Hasbrouck Heights, NJ 07604 2009-06-10
1760509228 Care Plus New Jersey, Inc. Community/Behavioral Health 611 Route 46 West, Suite 100, Hasbrouck Heights, NJ 07604 2007-03-22
1659424505 Despina S. Fikaris Optometrist 227 1.2 Boulevard, Hasbrouck Heights, NJ 07604 2007-01-22
1952452443 Mark John Delcalzo Chiropractor 75 Nj Route 17 South, Hasbrouk Heights, NJ 07604 2007-01-13
1396812145 Jeffrey Ellwood Mason Dentist 232 Boulevard, Suite 1, Hasbrouck Heights, NJ 07604 2006-11-29
1356417000 Orthodontic Associates of Hasbrouck Heights PC Dentist 150 Terrace Avenue, Apt 1a, Hasbrouck Heights, NJ 07604 2006-11-27
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609385343 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 46b Hoehn St, Hasbrouck Heights, NJ 07604-1513 2017-09-26
1538678396 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 50a Hoehn St, Hasbrouck Heights, NJ 07604-1513 2017-09-25
1699284695 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 238 Central Ave, Hasbrouck Heights, NJ 07604-2006 2017-09-22

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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
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Competitor

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City HASBROUCK HEIGHTS
Zip Code 07604

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Dataset Information

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.

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