LEGACY TREATMENT SERVICES (NPI# 1881085637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881085637 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES |
| Practice Address |
610 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 |
| Practice Telephone | 6092883067 |
| Practice Fax Number | 6092651895 |
| Mailing Telephone | 6092883067 |
| Mailing Fax Number | 6092651895 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | BETTY GARRISON (CFO) |
| Authorized Official Telephone | 6092675656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 2000030 | NJ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| 1659755668 | Legacy Treatment Services | Community/Behavioral Health | 119 Creek Rd, Lumberton, NJ 08048-5229 | 2015-07-20 |
| 1518363316 | Legacy Treatment Services | Community/Behavioral Health | 110 Old Turnpike Road, Oldwick, NJ 08858 | 2014-11-06 |
| 1316342553 | Legacy Treatment Services | Community/Behavioral Health | 74 Hawkin Rd, New Egypt, NJ 08533-2824 | 2014-10-30 |
| 1942605183 | Legacy Treatment Services | Community/Behavioral Health | 553 Monmouth Rd, Wrightstown, NJ 08562-2125 | 2014-10-30 |
| 1841673407 | Legacy Treatment Services | Community/Behavioral Health | 795 Woodlane Rd, Suite #301, Westampton, NJ 08060-3832 | 2015-07-01 |
| 1396128955 | Legacy Treatment Services | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES | 3837 Mayfair St, Pittsburgh, PA 15204-1011 |
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
610 PEMBERTON BROWNS MILLS RD |
| City | PEMBERTON |
| State | NJ |
| Zip Code | 08068-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643500 | Phyllis Glenn Anderson | Nurse Practitioner | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2010-02-25 |
| 1710593579 | Jeana Ann Simko | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2020-09-17 |
| 1457851107 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2018-02-20 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1396128955 | Legacy Treatment Services | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-07-01 |
| 1962800367 | Orin H Morrison Jr. | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-12-17 |
| 1790180438 | Kevin Ford | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-10-23 |
| 1376944967 | Union Association of The Children's Home of Burlington County, Inc. | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-09-15 |
| 1881093920 | Union Assocation of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-08-14 |
| 1902180037 | The Kintock Group of New Jersey, Inc. | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998502 | Deena Gutch | Counselor | 610 Brownsmills Rd, Pemberton, NJ 08068 | 2016-08-28 |
| 1467738492 | Exceptional Kidz Rehabilitation | Counselor | 43 Elizabeth St, Pemberton, NJ 08068 | 2011-10-21 |
| 1972716603 | Ellen Christine Miller | Occupational Therapy Assistant | 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 | 2007-05-08 |
| 1720236631 | Renuka Maringanti | Dentist | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2008-09-04 |
| 1053453076 | Chitra Sarvotam | Dentist | 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 | 2007-02-13 |
| 1700182847 | E Estrella Wells | Student in an Organized Health Care Education/Training Program | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2011-02-08 |
| 1417339128 | Jamie Reuter | Behavioral Analyst | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2015-06-18 |
| 1710167614 | Stephen Alan Kloss | Pharmacist | 87 Hanover St, Pemberton, NJ 08068-1131 | 2007-11-07 |
| 1639291248 | Pemberton Township School District | Local Education Agency (LEA) | 1 Egbert St, Pemberton, NJ 08068-1211 | 2007-04-04 |
| 1851635791 | Aspired Living, Inc | Day Training, Developmentally Disabled Services | 43 Elizabeth St, Pemberton, NJ 08068-1215 | 2012-11-15 |
| Find all providers in zip 08068 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457851107 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2018-02-20 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1902180037 | The Kintock Group of New Jersey, Inc. | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
| 1982218228 | New Pathway Counseling Services | Substance Abuse Rehabilitation Facility | 20 Powers Dr, Paramus, NJ 07652-2911 | 2020-09-03 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1891318077 | The Shore Detox LLC | Substance Abuse Rehabilitation Facility | 30 W Jimmie Leeds Rd, Galloway, NJ 08205-9421 | 2020-05-22 |
| 1619598968 | Mountainside - Ramsey | Substance Abuse Rehabilitation Facility | 500 N Franklin Tpke Ste 304, Ramsey, NJ 07446-1160 | 2020-04-28 |
| 1184244691 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 223 Polk Ln, Bridgeton, NJ 08302-5904 | 2020-04-24 |
| 1922628502 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 101 Madison Ave Ste 205, Morristown, NJ 07960-7305 | 2020-04-23 |
| 1760002331 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 1930 Marlton Pike E Ste O77, Cherry Hill, NJ 08003-4204 | 2020-04-23 |
| 1396376018 | Cooper Center for Healing and Recovery, LLC | Substance Abuse Rehabilitation Facility | 761 Cuthbert Blvd, Cherry Hill, NJ 08002-3417 | 2020-01-31 |
| 1295395408 | Coleman Addiction Medicine, P.C. | Substance Abuse Rehabilitation Facility | 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 | 2019-06-19 |
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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.