DEVEREUX (NPI# 1952646705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952646705 |
| Entity Type | Organization |
| Organization Name | DEVEREUX |
| Other Organization Name | DEVEREUX NEW JERSEY |
| Practice Address |
286 Mantua Grove Rd Bldg #4 West Deptford NJ 08066-1738 |
| Mailing Address |
2012 Renaissance Blvd King of Prussia PA 19406-2786 |
| Practice Telephone | 8565996429 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MRS. FRAN WAGNER (CONTRACT DIRECTOR) |
| 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 |
| Other Name | Type Code |
|---|---|
| Devereux New Jersey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609257930 | Devereux | Case Management | 85 Old Eagle Rd, Strafford, PA 19087-2556 | 2015-06-11 |
| 1306195185 | Devereux | Exclusive Provider Organization | 6365 Taft St. Suite 2002, Hollywood, FL 33024 | 2012-09-07 |
| 1326301706 | Devereux | Clinic/Center | 5850 T G Lee Blvd, Suite 400, Orlando, FL 32822-4407 | 2012-06-20 |
| 1013397843 | Devereux | Community/Behavioral Health | 6 Blackstone Valley Pl, Suite 402, Lincoln, RI 02865-1179 | 2015-06-07 |
| 1922415074 | Devereux | Community/Behavioral Health | 120 E New York Ave, Suite B, Deland, FL 32724-5568 | 2014-07-21 |
| 1053735266 | Devereux | Community/Behavioral Health | 120 E New York Ave Ste B, Deland, FL 32724-5527 | 2014-02-07 |
| 1962835686 | Devereux | Clinic/Center | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2013-08-16 |
| 1952747032 | Devereux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 Renaissance Blvd, King of Prussia, PA 19406 | 2013-05-16 |
| 1780931659 | Devereux | Foster Care Agency | 6365 Taft St, Hollywood, FL 33024-5952 | 2012-08-10 |
| 1912040403 | Devereux | Counselor | 501 N Wymore Rd, Winter Park, FL 32789-2808 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEVEREUX & ASSOCIATES LLC | 9 Bromyard Lane, Bella Vista, AR 72714-2911 |
| New York State Corporations | DEVEREUX ADVISORS LLC | 6 Devereux Place, Garden City, New York 11530 |
| New York State Corporations | DEVEREUX ASSOCIATES, LCSW P.C. | 11 Devereux Street, 4th Floor, Utica, Ny 13501 |
| New York State Corporations | DEVEREUX ASSOCIATION OF PARENTS OF NEW YORK, INC. | Po Box 662, Rhinebeck, Ny 12572 |
| Oregon Corporations, Companies and Business Names | DEVEREUX B & E LLC | 5658 Shady Ln, Florence, OR 97439 |
| Virginia Business Entities | Devereux Barns LLC | 1671 Lockes Mill Road, Berryville, Virginia 22611 |
| Massachusetts Corporations | DEVEREUX BEACH CORPORATION | 141 Humphrey Street, Swampscott, MA 01907 |
| Vermont Business Registrations | DEVEREUX BUILDERS | 1141 Tarbell Hill Rd, Cavendish, VT 05142 |
| Virginia Business Entities | Devereux Construction LLC | 13664 Balmoral Greens Ave, Clifton, Virginia 20124 |
| Colorado Business Entities | Devereux Enterprises, Inc. | 2675 Mall of Georgia Blvd., Suite 602, Buford, CO 30519 |
| Street Address |
286 MANTUA GROVE RD BLDG #4 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08066-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162519 | Devereux Foundation | In Home Supportive Care | 286 Mantua Grove Rd, West Deptford, NJ 08066-1738 | 2017-09-08 |
| 1780090746 | Amy Marie Baum | Social Worker | 286 Mantua Grove Rd, West Deptford, NJ 08066-1738 | 2014-07-10 |
| 1326463670 | Elizabeth Craft | Social Worker | 286 Mantua Grove Rd, West Deptford, NJ 08066-1738 | 2014-02-24 |
| 1902132111 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Rd, Building 4, West Deptford, NJ 08066-1738 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
| 1659446169 | Delaware Valley Physicians & Surgeons | Specialist | 559 Mantua Ave, Paulsboro, NJ 08066 | 2006-11-21 |
| 1114954054 | Anthony William Villare | Family Medicine | 560 Mantua Ave, Paulsboro, NJ 08066 | 2006-06-27 |
| 1336182013 | Steven Andrew Litz | Specialist | 600 Jessup Road, Ste 102, West Deptford, NJ 08066 | 2006-06-13 |
| 1760721682 | Board of Education of The Borough of Paulsboro | Local Education Agency (LEA) | 662 N Delaware St, Paulsboro, NJ 08066-1020 | 2013-02-13 |
| 1104206119 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2015-06-04 |
| 1407412158 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2019-05-17 |
| 1295837722 | Gloucester Physical Therapy, PC | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2006-09-04 |
| 1326190653 | Maikutlo B Kebaetse | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2007-01-17 |
| 1922029115 | Dr.gary B Budman and Associates | Dentist | 737 Billings Ave, Paulsboro, NJ 08066-1216 | 2006-07-22 |
| Find all providers in zip 08066 | ||||
| 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 |
|---|---|---|---|---|
| 1427569300 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Lionheart Ln, West Deptford, NJ 08086-2252 | 2017-10-18 |
| 1164933040 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Lionheart Ln, West Deptford, NJ 08086-2253 | 2017-10-18 |
| 1124539010 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Highbridge Ln, West Deptford, NJ 08086-2254 | 2017-10-18 |
| 1306357280 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 77 Highbridge Ln, West Deptford, NJ 08086-2254 | 2017-10-18 |
| 1538670575 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 90 Highbridge Ln, West Deptford, NJ 08086-2254 | 2017-10-17 |
| 1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
| 1558747758 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Grandview Ave Ste 5, West Deptford, NJ 08066-1866 | 2015-08-11 |
| 1902132111 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Rd, Building 4, West Deptford, NJ 08066-1738 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08066 |
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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.