NJ MENTOR (NPI# 1942718333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942718333 |
| Entity Type | Organization |
| Organization Name | NJ MENTOR |
| Practice Address |
19 Hidden Hollow Ln Sicklerville NJ 08081-3910 |
| Mailing Address |
80 Cottontail Ln Ste 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Mailing Telephone | 7326279890 |
| Mailing Fax Number | 7326278414 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | EVE ESTRICT (AREA DIRECTOR) |
| Authorized Official Telephone | 7326279890 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607225 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Bancroft Ln, Willingboro, NJ 08046-3902 | 2018-01-19 |
| 1639687023 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Northampton Dr, Willingboro, NJ 08046-1324 | 2018-01-19 |
| 1386152825 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 988 Sids Ct, Brick, NJ 08724-7173 | 2018-01-18 |
| 1659993442 | Nj Mentor | Community/Behavioral Health | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2020-05-14 |
| 1750899290 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 529 S Atlantic Ave, Aberdeen, NJ 07747-2246 | 2018-01-18 |
| 1326208729 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-10 |
| 1053570135 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| Street Address |
19 HIDDEN HOLLOW LN |
| City | SICKLERVILLE |
| State | NJ |
| Zip Code | 08081-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771031 | Clack Associates, LLC. | Counselor | 603 Liberty Place, Sicklerville, NJ 08081 | 2019-10-13 |
| 1164901351 | Devereux Foundation | Day Training, Developmentally Disabled Services | 1601 - 1603 Sicklerville Road, Sicklerville, NJ 08081 | 2018-08-09 |
| 1467930990 | Brooke Schatzman | Lactation Consultant, Non-RN | 112 Hampton Court, Sicklerville, NJ 08081 | 2018-08-06 |
| 1831686443 | Grandular Senior Living | Day Training/Habilitation Specialist | 542 Berlin Cross Key Road Ste 3-270, Sicklerville, NJ 08081 | 2018-04-18 |
| 1942718465 | Community Dental of Sicklerville, P.C. | Dentist | 513 Cross Keys Road, Sicklerville, NJ 08081 | 2018-01-18 |
| 1831609304 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brandon Court, Sicklerville, NJ 08081 | 2017-10-10 |
| 1710402631 | Premiere Behavioral Supports | Behavior Technician | 404 Independence Blvd, Sicklerville, NJ 08081 | 2017-08-11 |
| 1285167346 | A Better Concept | Community/Behavioral Health | 20 Wildcat Branch Dr, Sicklerville, NJ 08081 | 2017-04-06 |
| 1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
| 1588012496 | Grace Musokae | Pharmacist | 412 Sicklerville Rd, Jolin's Pharmacy #103, Sicklerville, NJ 08081 | 2016-06-01 |
| Find all providers in zip 08081 | ||||
| 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 |
|---|---|---|---|---|
| 1396397857 | Vf Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hamlet Ct, Sicklerville, NJ 08081-2512 | 2019-07-14 |
| 1558925750 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Chews Landing Rd, Sicklerville, NJ 08081-1729 | 2019-04-24 |
| 1831609304 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brandon Court, Sicklerville, NJ 08081 | 2017-10-10 |
| 1407366206 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1464 Jarvis Rd, Sicklerville, NJ 08081-9745 | 2017-10-05 |
| 1417471772 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Richmond Dr, Sicklerville, NJ 08081-9456 | 2017-07-28 |
| 1396125233 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 S Cedar Brook Rd, Sicklerville, NJ 08081-3700 | 2015-06-05 |
| 1093195042 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Cedar Brook Rd, Sicklerville, NJ 08081-3503 | 2015-06-04 |
| 1437462504 | Ebony Island Shelter Company | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Eastmont Ln, Sicklerville, NJ 08081-1913 | 2010-07-19 |
| 1700494770 | Naomi Bethel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-07-16 |
| 1992214605 | A Better Concept | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Wildcat Branch Dr, Sicklerville, NJ 08081-4890 | 2017-09-26 |
| Find all providers in SICKLERVILLE | ||||
| City | SICKLERVILLE |
| Zip Code | 08081 |
Please comment or provide details below to improve the information on NJ MENTOR.
| 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.