ARC OF CAMDEN COUNTY- MILLBRIDGE SUPPORTED LIVING (NPI# 1881118610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881118610 |
| Entity Type | Organization |
| Organization Name | ARC OF CAMDEN COUNTY- MILLBRIDGE SUPPORTED LIVING |
| Practice Address |
285 Millhurst Ct Apt 258 Clementon NJ 08021 |
| Mailing Address |
215 W White Horse Pike Berlin NJ 08009-1132 |
| Practice Telephone | 8567673807 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | THOMAS MANNION (CFO) |
| Authorized Official Telephone | 8567673807 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARC OF CAMDEN COUNTY, INC. |
| 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 |
| Street Address |
285 MILLHURST CT APT 258 |
| City | CLEMENTON |
| State | NJ |
| Zip Code | 08021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| 1568997245 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Florence Ave, Laurel Springs, NJ 08021 | 2017-05-01 |
| Find all providers in zip 08021 | ||||
| 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 |
|---|---|---|---|---|
| 1447752365 | 21 Plus, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Stoney Bridge Rd, Clementon, NJ 08021-2706 | 2018-03-07 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1215447040 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 700, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1821508649 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 708, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1770093502 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 710, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1437669264 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 713, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1700396538 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 714, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1285144006 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 Broadacres Dr Apt 715, Clementon, NJ 08021-5656 | 2017-10-06 |
| 1417481011 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 47 Windmill Court, Clementon, NJ 08021 | 2017-04-20 |
| 1164956769 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Godshalk Avenue, Clementon, NJ 08021 | 2017-04-20 |
| Find all providers in CLEMENTON | ||||
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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.