DEVEREUX FOUNDATION (NPI# 1902282205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902282205 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH |
| Practice Address |
5270 Oakwoord Boulevard Mays Landing NJ 08330 |
| Mailing Address |
286 Mantua Grove Rd Building #4 West Deptford NJ 08066-1738 |
| Practice Telephone | 8565996400 |
| Mailing Telephone | 8565996400 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MRS. CAROLE CIRUCCI (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6105423084 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0399507 | 05 |
| Other Name | Type Code |
|---|---|
| Devereux Advanced Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1205494978 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 | 2019-05-29 |
| 1023675808 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 | 2019-05-28 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1609333194 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Creek Ln, Mount Royal, NJ 08061-1039 | 2019-02-21 |
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1326512476 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bloss Rd, Canadensis, PA 18325-4741 | 2019-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DEVEREUX FOUNDATION, INC., THE | 81 Sabbaday La, Washington, CT 06793 |
| Street Address |
5270 OAKWOORD BOULEVARD |
| City | MAYS LANDING |
| State | NJ |
| Zip Code | 08330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1306478458 | Kinjal Chaudhary | Optometrist | 510 Consumer Square, Mays Landing, NJ 08330 | 2020-02-06 |
| 1730721721 | Stacey R Gelman | Physician Assistant | 1161 New Jersey 50, Suite L, Mays Landing, NJ 08330 | 2019-10-11 |
| 1790254159 | Atlantic Apothecary | Pharmacy | 505 Hamilton Commons, Mays Landing, NJ 08330 | 2018-11-15 |
| 1205334059 | Mandy S Liberty | Registered Nurse | 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330 | 2018-01-26 |
| 1447613104 | Heather Dugandzic | Pharmacist | 4454 Blackhorse Pike, Mays Landing, NJ 08330 | 2016-03-31 |
| 1588037527 | Caringhouse Projects, Inc | Respite Care | 5905 Buttercup Lane, Mays Landing, NJ 08330 | 2015-11-12 |
| 1730510207 | Anais Mixson | Specialist/Technologist | 4438 Yorktown Pl, Mays Landing, NJ 08330 | 2013-12-09 |
| 1790120442 | Keep It Together, LLC | Social Worker | 4703 Boxwood Place, Mays Landing, NJ 08330 | 2013-05-08 |
| Find all providers in zip 08330 | ||||
| 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 |
|---|---|---|---|---|
| 1295379881 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4406 Yorktown Pl, Mays Landing, NJ 08330-2703 | 2019-11-06 |
| 1336653419 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4552 Concord Pl, Mays Landing, NJ 08330-2715 | 2017-11-28 |
| 1194238006 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4539 Concord Pl, Mays Landing, NJ 08330-2712 | 2017-11-14 |
| 1245743152 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4730 Andorea Dr, Mays Landing, NJ 08330-2815 | 2017-11-14 |
| 1902319817 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4433 Yorktown Pl, Mays Landing, NJ 08330-2706 | 2017-11-14 |
| 1528571437 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4708 Summersweet Dr, Mays Landing, NJ 08330-2813 | 2017-11-14 |
| 1417460320 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4756 Summersweet Dr, Mays Landing, NJ 08330-2842 | 2017-11-14 |
| 1255844155 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4758 Summersweet Dr, Mays Landing, NJ 08330-2842 | 2017-11-14 |
| 1275046187 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4435 Yorktown Pl Apt 4433, Mays Landing, NJ 08330-2706 | 2017-11-14 |
| 1548773443 | The Arc of Atlantic County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4435 Yorktown Pl Apt 4435, Mays Landing, NJ 08330-2706 | 2017-11-14 |
| Find all providers in MAYS LANDING | ||||
| City | MAYS LANDING |
| Zip Code | 08330 |
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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.