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BANCROFT-PAYSON AVE
NPI 1558897900
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Audubon, NJ

Active since May 04, 2017
4 PAYSON AVE, AUDUBON, NJ 08106(800) 774-5516 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About BANCROFT-PAYSON AVE

This page provides the complete NPI Profile along with additional information for Bancroft-payson Ave, a provider established in Audubon, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1558897900 assigned on May 2017. The practitioner's primary taxonomy code is 320900000X with license number TBI054 (NJ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Bancroft-payson Ave. The authorized official of this NPI record is Jennifer Cripps Cpa (Chief Financial Officer)

NPI
1558897900 Verify this NPI
Provider Legal Name
BANCROFT NEUROHEALTH
Other Organization Name
BANCROFT-PAYSON AVE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4 PAYSON AVE AUDUBON, NJ 08106
Location Phone
(800) 774-5516
Mailing Address
1255 CALDWELL RD CHERRY HILL, NJ 08034
Mailing Phone
(856) 348-1181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2017
Last Update Date
11-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
TBI054
License State
NJ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER CRIPPS CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(856) 348-1196

Reviews for BANCROFT-PAYSON AVE

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Frequently Asked Questions

What is BANCROFT NEUROHEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1558897900, enumerated as an "organization" on May 04, 2017.

Where is the provider located?

The provider is located at 4 PAYSON AVE AUDUBON, NJ 08106 and the phone number is (800) 774-5516.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.