WGA MORGANFIELD (WILLOWGLEN ACADEMY-NEW JERSEY, INC.) NPI 1578949616

Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities in Wantage, NJ

Organization Community Based Residential Treatment, M...

About WGA MORGANFIELD (WILLOWGLEN ACADEMY-NEW JERSEY, INC.)

Wga Morganfield (willowglen Academy-new Jersey, Inc.) is a provider established in Wantage, New Jersey specializing in community based residential treatment, mental retardation and/or developmental disabilities. The NPI number of Wga Morganfield (willowglen Academy-new Jersey, Inc.) is 1578949616 and was assigned on July 2015. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Wga Morganfield. The authorized official of this NPI record is Mrs. Patricia Bates (Controller)

NPI

1578949616

Provider NameWGA MORGANFIELD (WILLOWGLEN ACADEMY-NEW JERSEY, INC.)
Provider Location Address27 MORGAN DRIVE WANTAGE, NJ 07461
Provider Mailing Address8 WILSON DRIVE SPARTA, NJ 07871
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWGA MORGANFIELD
Other Name TypeOther Name (5)
Enumeration Date07-30-2015
Last Update Date07-30-2015

Primary Taxonomy

Taxonomy Code320900000X
ClassificationCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
TypeResidential Treatment Facilities
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Business Address

WGA MORGANFIELD
27 MORGAN DRIVE
WANTAGE, NJ
ZIP 07461
Phone: (973) 579-3700
Fax: (973) 579-1786

Get Directions

Mailing Address

WGA MORGANFIELD
8 WILSON DRIVE
SPARTA, NJ
ZIP 07871
Phone: (973) 579-3700
Fax: (973) 579-1786

Authorized Official

Authorized Official NameMRS. PATRICIA BATES
Authorized Official TitleCONTROLLER
Authorized Official Phone(973) 579-3700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1578949608
Next NPI
1578949624