LEGACY TREATMENT SERVICES, INC. (NPI# 1831757376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831757376 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES, INC. |
| Practice Address |
210 Route Us 9 S Ste 202 Marmora NJ 08223-1271 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092675656 |
| Mailing Telephone | 6092675656 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | LISA BAILEY (BUSINESS ANALYST) |
| Authorized Official Telephone | 6092883169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1023568524 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2016-10-07 |
| 1437602497 | Legacy Treatment Services, Inc. | In Home Supportive Care | 1289 Route 38 West, Suite #203, Hainesport, NJ 08036-2720 | 2016-07-26 |
| 1588020580 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 7 Quaker Hill Dr, Pittstown, NJ 08867-4026 | 2016-01-06 |
| 1003281924 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1618 W Front St, Lincroft, NJ 07738-1124 | 2015-12-03 |
| 1417329442 | Legacy Treatment Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 243 Pine St, Mount Holly, NJ 08060-2201 | 2015-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
210 ROUTE US 9 S STE 202 |
| City | MARMORA |
| State | NJ |
| Zip Code | 08223-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707793 | Legacy Treatment Services, Inc | Community/Behavioral Health | 210 Route Us 9 S Ste 202, Marmora, NJ 08223-1271 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909663 | Elizabeth Flores | Social Worker | 507 Route 9 South, Unit 10, Marmora, NJ 08223 | 2018-04-09 |
| 1790074607 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Us Route 9 South, Marmora, NJ 08223 | 2011-03-31 |
| 1306080825 | Village Super Market of Nj L P | Pharmacy | 4 West Roosevelt Ave, Marmora, NJ 08223 | 2009-04-28 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1285664615 | Melissa Hutchison | Family Medicine | 210 S. Shore Road, Marmora, NJ 08223 | 2006-07-03 |
| 1497844534 | Ellen T Demoulin | Chiropractor | 52 Tuckahoe Rd, Marmora, NJ 08223 | 2006-10-12 |
| 1154746873 | Rachel Hunter | Occupational Therapist | 23 Ocean Ave, Marmora, NJ 08223-1007 | 2014-03-04 |
| 1588825657 | Gretchen Bridget Sheppard | Licensed Practical Nurse | 204 Seaside Ave, Marmora, NJ 08223-1033 | 2008-06-22 |
| 1093379646 | Laura Kathleen Verzi-aleszczyk | Behavioral Analyst | 612 Stagecoach Rd, Marmora, NJ 08223-1107 | 2019-04-30 |
| 1003820622 | Atlanticare Physician Group | Clinic/Center | 210 Route Us 9 S, Suite 201, Marmora, NJ 08223-1200 | 2006-07-28 |
| Find all providers in zip 08223 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707793 | Legacy Treatment Services, Inc | Community/Behavioral Health | 210 Route Us 9 S Ste 202, Marmora, NJ 08223-1271 | 2019-05-31 |
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|---|---|---|---|---|
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| 1447862875 | Ymca of Greater Monmouth County | Community/Behavioral Health | 485 Adelphia Rd, Freehold, NJ 07728-8815 | 2020-08-18 |
| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.