PENNREACH
NPI 1750895157
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bridge, NJ
- Organization
- Community Based Residential Treatment Fa...
About PENNREACH
This page provides the complete NPI Profile along with additional information for Pennreach, a provider established in Old Bridge, 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 1750895157 assigned on November 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Pauline Bailo (Director)
- NPI
- 1750895157 Verify this NPI
- Provider Name
- PENNREACH
- Entity Type
- Organization
- Location Address
- 1998 ROUTE 18 OLD BRIDGE, NJ 08857
- Location Phone
- (732) 968-4523
- Mailing Address
- 18 S MAIN ST ALLENTOWN, NJ 08501
- Mailing Phone
- (732) 968-4523
- Mailing Fax
- (609) 259-4120
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2017
- Last Update Date
- 11-21-2017
- Code Navigator
Location Map
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
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750895157, enumerated as an "organization" on November 21, 2017.
The provider is located at 1998 ROUTE 18 OLD BRIDGE, NJ 08857 and the phone number is (732) 968-4523.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
