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PENNREACH
NPI 1164077681
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lee, NJ

Active since August 02, 2019
69 MAIN ST APT 807, FORT LEE, NJ 07024(215) 409-5519 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pennreach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNREACH (NPI 1164077681) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fort Lee, New Jersey and active in the NPI registry since August 2019. The organization lists Krystal Odell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164077681
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePENNREACH
Location Address69 MAIN ST APT 807Fort Lee, NJ 07024-6909
Mailing Address18 S Main StAllentown, NJ 08501-1610 · (215) 409-5519
Phone(215) 409-5519
Organization SubpartNo
Authorized OfficialKrystal OdellCeo · (212) 409-5519
Enumeration DateAugust 2, 2019
✔ NPI 1164077681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
69 MAIN ST APT 807, Fort Lee, NJ 07024
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennreach's NPI number?

The NPI number for Pennreach is 1164077681. It was assigned to this organization in the NPPES registry on August 2, 2019.

Where is Pennreach located?

Pennreach is located at 69 Main St Apt 807, Fort Lee, NJ 07024. The listed phone number is (215) 409-5519.

What is Pennreach's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Pennreach was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.