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PENNREACH
NPI 1265097430
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lee, NJ

Active since May 03, 2019
69 MAIN ST APT 1110, FORT LEE, NJ 07024(215) 409-5519 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2019, May 3, 2019 (2 updates tracked since 2019).

About Pennreach NPPES

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

PENNREACH (NPI 1265097430) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Lee, New Jersey and active in the NPI registry since May 2019. The organization maintains 12 additional practice locations and lists Pauline Bailo, Director, as its authorized official.

NPPES Registry Identity

NPI1265097430
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePENNREACH
Location Address69 MAIN ST APT 1110Fort Lee, NJ 07024-6909
Mailing Address18 S Main StAllentown, NJ 08501-1610 · (215) 409-5519
Phone(215) 409-5519
Organization SubpartNo
Authorized OfficialPauline BailoDirector · (215) 475-2401
Enumeration DateMay 3, 2019
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
✔ NPI 1265097430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
69 MAIN ST APT 1110, Fort Lee, NJ 07024
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Secondary Practice Locations 12

Location 169 Main St Apt 1010Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 269 Main St Apt 608Fort Lee, NJ 07024-6909 · Phone (221) 540-9551
Location 369 Main St Apt 1108Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 469 Main St Apt 1008Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 569 Main St Apt 914Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 669 Main St Apt 912Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 769 Main St Apt 910Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 869 Main St Apt 814Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 969 Main St Apt 812Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 1069 Main St Apt 614Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 1169 Main St Apt 712Fort Lee, NJ 07024-6909 · Phone (215) 409-5519
Location 1269 Main St Apt 807Fort Lee, NJ 07024-6909 · Phone (215) 409-5519

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNREACH
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
69 MAIN ST APT 1110
FORT LEE, NJ 07024
Bergen County (215) 409-5519

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 1265097430. It was assigned to this organization in the NPPES registry on May 3, 2019.

Where is Pennreach located?

Pennreach is located at 69 Main St Apt 1110, 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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Pennreach was last updated on July 22, 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.