ELWYN NEW JERSEY (NPI# 1891221032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891221032 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Practice Address |
2564 Brookfield St Vineland NJ 08361-7348 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8139 |
| Practice Telephone | 8562059692 |
| Practice Fax Number | 8562051379 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2020-03-05 |
| 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 | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| 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 |
2564 BROOKFIELD ST |
| City | VINELAND |
| State | NJ |
| Zip Code | 08361-7348 |
| 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 |
| 1851774665 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 6, 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 |
| Find all providers in zip 08361 | ||||
| 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 |
|---|---|---|---|---|
| 1467094433 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2556 Mart Ave, Vineland, NJ 08361-6725 | 2019-10-11 |
| 1750870358 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Glenwood Ct, Vineland, NJ 08361-8510 | 2018-05-09 |
| 1649769373 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 Mcclain Dr, Vineland, NJ 08361-6138 | 2018-05-08 |
| 1174030134 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1670 Flora Rd, Vineland, NJ 08360-9102 | 2017-12-29 |
| 1457867442 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2027 S Spring Rd, Vineland, NJ 08361-7203 | 2017-12-28 |
| 1194236133 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1789 Maurice River Pkwy, Vineland, NJ 08360-1918 | 2017-10-17 |
| 1306360375 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1981 E Landis Ave, Vineland, NJ 08361-2942 | 2017-08-01 |
| 1427572718 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1044 Rae Dr, Vineland, NJ 08360-6246 | 2017-07-28 |
| 1528582814 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1115 Linda Ln, Vineland, NJ 08360-5008 | 2017-07-28 |
| 1437673720 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2743 Maple Ave, Vineland, NJ 08361-3007 | 2017-07-28 |
| 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.