ADVOSERV OF NEW JERSEY, INC. (NPI# 1740660794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740660794 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
261 Whiskey Mill Rd Clarksboro NJ 08020-1128 |
| Mailing Address |
2520 Wrangle Hill Rd Ste 200 Bear DE 19701-3856 |
| Practice Telephone | 8562413320 |
| Practice Fax Number | 8562413321 |
| Mailing Telephone | 3023658050 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | DARREN BLOUGH (STATE DIRECTOR) |
| Authorized Official Telephone | 8562413320 |
| Authorized Official Credential | M.S.W., BCABA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH562 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0463591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225593098 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 340 S Branch Rd Ste 440, Hillsborough, NJ 08844-3433 | 2019-02-06 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1578055216 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 S Hook Rd, Pennsville, NJ 08070-2359 | 2018-05-30 |
| 1497244099 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Branch Rd, Bridgewater, NJ 08807-2115 | 2018-05-09 |
| 1750870358 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Glenwood Ct, Vineland, NJ 08361-8510 | 2018-05-09 |
| 1932698537 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Tomlin Station Rd, Gibbstown, NJ 08027-1261 | 2018-05-09 |
| 1679062392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Castle Dr, Pennsville, NJ 08070-2419 | 2018-05-08 |
| 1649769373 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 Mcclain Dr, Vineland, NJ 08361-6138 | 2018-05-08 |
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| Street Address |
261 WHISKEY MILL RD |
| City | CLARKSBORO |
| State | NJ |
| Zip Code | 08020-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437716107 | Merakey New Jersey | Community/Behavioral Health | 261 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402152 | Robert A Provencher | Family Medicine | 296 Kings Highway, Clarksboro, NJ 08020 | 2006-07-03 |
| 1790928109 | Mary Elizabeth Jasinski | Pharmacist | 104 W Cohawkin Rd, Clarksboro, NJ 08020-1119 | 2009-04-14 |
| 1831579838 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2015-06-04 |
| 1326428392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2015-06-04 |
| 1700443579 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2019-05-28 |
| 1811554942 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2019-05-23 |
| 1710952023 | Mark Pandolfo, Dc | Chiropractor | 175 W Cohawkin Rd, Clarksboro, NJ 08020-1145 | 2006-02-21 |
| 1225003536 | Mark P Pandolfo | Chiropractor | 175 W Cohawkin Rd, Clarksboro, NJ 08020-1145 | 2006-02-21 |
| 1104955012 | Diana Sophia Tsombaris | Podiatrist | 119 Berkley Rd Ste A, Clarksboro, NJ 08020-1161 | 2007-03-05 |
| 1598314601 | Family Foot & Ankle Care Center LLC | Podiatrist | 119 Berkley Rd Ste A, Clarksboro, NJ 08020-1161 | 2019-09-11 |
| Find all providers in zip 08020 | ||||
| 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 |
|---|---|---|---|---|
| 1831579838 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2015-06-04 |
| 1326428392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2015-06-04 |
| 1700443579 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2019-05-28 |
| 1811554942 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Whiskey Mill Rd, Clarksboro, NJ 08020-1128 | 2019-05-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBORO |
| Zip Code | 08020 |
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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.