ELWYN NEW JERSEY (NPI# 1851774665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851774665 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Other Organization Name | SENIOR ENRICHMENT PROGRAM |
| Practice Address |
1667 E Landis Ave Ste 6 Vineland NJ 08361 |
| Mailing Address |
1667 E Landis Ave Vineland NJ 08361-2942 |
| Practice Telephone | 8567945300 |
| Practice Fax Number | 8567945330 |
| Mailing Telephone | 8567945300 |
| Mailing Fax Number | 8567945330 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-04-06 |
| 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 | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| SENIOR ENRICHMENT PROGRAM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236200 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3239 Glassboro Cross Keys Rd, Williamstown, NJ 08094-3374 | 2019-07-03 |
| 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 |
| Street Address |
1667 E LANDIS AVE STE 6 |
| City | VINELAND |
| State | NJ |
| Zip Code | 08361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205200755 | Caringhouse Projects, Inc | Respite Care | 1702 Gardner Street, Apt 3a & 3b, Vineland, NJ 08361 | 2015-11-20 |
| 1588038038 | Caringhouse Projects, Inc | Respite Care | 5191 East Chestnut Avenue, Vineland, NJ 08361 | 2015-11-20 |
| 1568835593 | Caringhouse Projects, Inc | Respite Care | 1718 Gardner Street, Apts 1 & 2, Vineland, NJ 08361 | 2015-11-13 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1629466438 | Jadira Carlo | Counselor | Gardner Street Supervised Aparment, Vineland, NJ 08361 | 2014-12-31 |
| 1699080226 | John Platanella Jr. | Pharmacist | 1889 South Lincoln Ave., Rite Aid #10490, Vineland, NJ 08361 | 2010-08-06 |
| 1003982729 | Sheldon Vischer Smith Sr. | Internal Medicine | 1676 E Landis Avenue, Vineland, NJ 08361 | 2006-11-27 |
| 1689760951 | Tom A Tassakis | Internal Medicine | 1550 E Chestnut Ave, Building 4 Suite D, Vineland, NJ 08361 | 2006-10-05 |
| 1427165596 | Associated Specialists, Inc. | Internal Medicine | 1450 E Chestnut Ave Ste 3a, Vineland, NJ 08361 | 2006-08-24 |
| Find all providers in zip 08361 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1669984696 | Hollydell, Inc. | Day Training, Developmentally Disabled Services | 2384 E Landis Ave, Vineland, NJ 08361-2964 | 2017-10-31 |
| 1346690765 | Aw Holdings LLC | Day Training, Developmentally Disabled Services | 610 E Landis Ave, Vineland, NJ 08360-8024 | 2016-06-16 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| 1184065039 | Treehouse Community Supports | Day Training, Developmentally Disabled Services | 20b Coney Ave, Vineland, NJ 08360-4516 | 2013-07-08 |
| 1467895003 | Treehouse Community Supports,llc | Day Training, Developmentally Disabled Services | 20 Coney Ave, B, Vineland, NJ 08360-4516 | 2013-04-13 |
| 1427394857 | Pafacom, Inc. | Day Training, Developmentally Disabled Services | 1301 W Forest Grove Rd, Vineland, NJ 08360-1501 | 2012-12-12 |
| 1780067595 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building B, Vineland, NJ 08360 | 2015-06-30 |
| Find all providers in VINELAND | ||||
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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.