WILLOWGLEN ACADEMY-NEW JERSEY, INC. (NPI# 1861878894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861878894 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Other Organization Name | WGA LAFAYETTE |
| Practice Address |
61 Beaver Run Road Lafayette NJ 07848 |
| Mailing Address |
8 Wilson Drive Sparta NJ 07871-3491 |
| Practice Telephone | 9735793700 |
| Practice Fax Number | 9735791786 |
| Mailing Telephone | 9735793700 |
| Mailing Fax Number | 9735791786 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MRS. PATRICIA BATES (CONTROLLER) |
| Authorized Official Telephone | 9735793700 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WGA Lafayette | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1073999009 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 19 Wilson Drive, Sparta, NJ 07871 | 2015-07-31 |
| 1144606179 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Big Spring Road, Hardyston, NJ 07460 | 2015-07-31 |
| 1972989903 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 190 Munson Hurst Road, Franklin, NJ 07416 | 2015-07-31 |
| 1235515263 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 501 Kings Avenue Suite 1, Cherry Hill, NJ 08002 | 2015-07-31 |
| 1568848620 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 4 Gail Court, Sparta, NJ 07871 | 2015-07-30 |
| 1851777981 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Roslyn Road, Branchville, NJ 07826 | 2015-07-30 |
| 1568848604 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 194 Plains Road, Frankford, NJ 07826 | 2015-07-30 |
| 1336525468 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 5th Avenue, Toms River, NJ 08753 | 2015-07-30 |
| Street Address |
61 BEAVER RUN ROAD |
| City | LAFAYETTE |
| State | NJ |
| Zip Code | 07848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942842182 | Christina Kaylee Nied | Occupational Therapist | 156 Rt. 15 North, Lafayette, NJ 07848 | 2019-10-09 |
| 1356836142 | Jennifer Leigh Waters | Occupational Therapist | 156 Route 15 North, Lafayette, NJ 07848 | 2018-06-25 |
| 1619477379 | Jamie Lynn Torre | Occupational Therapist | 156 Nj-15, Lafayette, NJ 07848 | 2018-02-19 |
| 1558895144 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Statesville Quarry Road, Lafayette, NJ 07848 | 2017-04-20 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1497007140 | Abby Wong Cheung | Occupational Therapist | 156 Route 15, Lafayette, NJ 07848 | 2012-10-04 |
| 1548546989 | Davina C Daura | Occupational Therapist | 156 Route -15, Lafayette, NJ 07848 | 2011-10-31 |
| 1093040701 | Marie M. Jackson | Dentist | 50 Route 15, Lafayette, NJ 07848 | 2009-10-14 |
| 1497828727 | Andover Subacute & Rehab Center Services One Inc | Durable Medical Equipment & Medical Supplies | 1 Obrien Lane, Lafayette, NJ 07848 | 2006-11-16 |
| 1063594836 | Mary Jean Negri | Chiropractor | 23 Route 15, Lafayette, NJ 07848 | 2006-10-20 |
| Find all providers in zip 07848 | ||||
| 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 |
|---|---|---|---|---|
| 1558895144 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Statesville Quarry Road, Lafayette, NJ 07848 | 2017-04-20 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1487034567 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Valcourt Dr, Lafayette, NJ 07848-4624 | 2015-06-04 |
| 1285014357 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pelletown Rd, Lafayette, NJ 07848-3156 | 2015-06-04 |
| 1740660729 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Warbasse Junction Rd, Lafayette, NJ 07848-4406 | 2015-06-04 |
| 1972854925 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Guidry St, Lafayette, LA 70501-8738 | 2012-09-29 |
| 1114250255 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 Moss St Ste B, Lafayette, LA 70501-1268 | 2009-09-08 |
| 1639327992 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1602 W Pinhook Rd Ste 209, Lafayette, LA 70508-3735 | 2008-08-28 |
| 1154453140 | Aguillard & Associates, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Cedar Crest Ct, Lafayette, LA 70501-5525 | 2007-03-12 |
| 1750419941 | Colonel Joseph George & Saida Saloom Hannie Community Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 W Broussard Rd, Lafayette, LA 70506-7813 | 2007-03-01 |
| Find all providers in LAFAYETTE | ||||
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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.