THE DEVEREUX FOUNDATION


Address: 1 Havensbridge Road, Farmingdale, NJ 07728
Phone: 8565996400

THE DEVEREUX FOUNDATION (NPI# 1841724697) 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) 1841724697
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 1 Havensbridge Road
Farmingdale
NJ 07728
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 2017-04-19
Last Update Date 2017-04-19
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 GH847 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 1 HAVENSBRIDGE ROAD
City FARMINGDALE
State NJ
Zip Code 07728

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851935837 Rehability Sports Medicine, LLC Acupuncturist 83 South St. Ste 204, Freehold, NJ 07728 2019-11-01
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1962983015 Cynthia Espinosa Behavioral Analyst 906 Nj State Route 33 Business, Freehold, NJ 07728 2018-08-27
1841780087 Planet Therapies Social Worker 4 E Main St Ste 2, Freehold, NJ 07728 2018-05-14
1861998627 Surgical Specialists of Central Nj, LLC Surgery 901 W Main St Ste 106, Freehold, NJ 07728 2018-04-02
1386158426 Clinical Care, LLC Social Worker 115 Spruce Street, Freehold, NJ 07728 2017-11-28
1992227565 Ashley Taylor Kravitz Dietitian, Registered 12 Christie Lane, Freehold, NJ 07728 2017-07-14
1326568429 The Jewish Home for Rehabilitation and Nursing Inc. Skilled Nursing Facility 1151 West Main St, Freehold, NJ 07728 2017-06-21
1518497551 Spine and Sports Rehab Group of Nj Physical Medicine & Rehabilitation 210 Mounts Corner Dr, Freehold, NJ 07728 2017-06-13
1346798543 Daria Kristy Mcgee Nurse Practitioner 315 W Main St Ste A, Freehold, NJ 07728 2016-09-15
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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
1447767421 A.w. Holdings, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 W Farms Rd, Farmingdale, NJ 07727-3550 2017-12-29
1841706843 A.w. Holdings, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 40 W Farms Rd, Farmingdale, NJ 07727-3550 2017-12-28
1285013706 The Arc of Monmouth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2 Ruset Ln, Farmingdale, NJ 07727-1134 2015-05-29

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City FARMINGDALE
Zip Code 07728

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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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