DEVEREUX ADVANCED BEHAVIORAL HEALTH
NPI 1730614017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sparta, NJ

Active since April 25, 2017
48 SKYLINE DRIVE, SPARTA, NJ 07871(856) 599-6400(856) 599-6404 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2017, Apr 25, 2017 (2 updates tracked since 2017).

About Devereux Advanced Behavioral Health NPPES

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

DEVEREUX ADVANCED BEHAVIORAL HEALTH (NPI 1730614017) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Sparta, New Jersey and active in the NPI registry since April 2017. The organization lists Carole Cirucci, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1730614017
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameTHE DEVEREUX FOUNDATION
Location Address48 SKYLINE DRIVESparta, NJ 07871
Mailing Address286 Mantua Grove Road, Building #4West Deptford, NJ 08066 · (856) 599-6400 · Fax (856) 599-6404
Fax(856) 599-6404
Organization SubpartNo
Authorized OfficialCarole CirucciDirector Of Finance · (856) 599-6429
Enumeration DateApril 25, 2017
Last NPPES UpdateMay 10, 20172 updates tracked since enumeration
NPI 1730614017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NJ · GH532
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
48 SKYLINE DRIVE, Sparta, NJ 07871

Other Names 1

Doing Business AsDevereux Advanced Behavioral Health

Other Identifiers 1

Medicaid0399507NJ

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 The Devereux Foundation's NPI number?

The NPI number for The Devereux Foundation is 1730614017. It was assigned to this organization in the NPPES registry on April 25, 2017. The provider is doing business as Devereux Advanced Behavioral Health.

Where is The Devereux Foundation located?

The Devereux Foundation is located at 48 Skyline Drive, Sparta, NJ 07871. The listed phone number is (856) 599-6400.

What is The Devereux Foundation'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 The Devereux Foundation was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.