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PENNREACH
NPI 1760960363
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oceanport, NJ

Active since August 06, 2018
10 GOSSELIN AVE, OCEANPORT, NJ 07757(215) 409-5519 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Pennreach NPPES

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

PENNREACH (NPI 1760960363) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Oceanport, New Jersey and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Oceanport and lists Pauline Bailo, Director, as its authorized official.

NPPES Registry Identity

NPI1760960363
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePENNREACH
Location Address10 GOSSELIN AVEOceanport, NJ 07757-1243
Mailing Address18 S Main StAllentown, NJ 08501-1610
Phone(215) 409-5519
Organization SubpartNo
Authorized OfficialPauline BailoDirector · (215) 475-2401
Enumeration DateAugust 6, 2018
Last NPPES UpdateFebruary 4, 20192 updates tracked since enumeration
✔ NPI 1760960363 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.

10 GOSSELIN AVE, Oceanport, NJ 07757
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Secondary Practice Location 1

Location 131 Gosselin AveOceanport, NJ 07757-1244 · Phone (215) 475-2401

Frequently Asked Questions

What is PENNREACH's NPI number?

The NPI number assigned to this healthcare provider is 1760960363, enumerated as an "organization" on August 06, 2018.

Where is the provider located?

The provider is located at 10 GOSSELIN AVE OCEANPORT, NJ 07757 and the phone number is (215) 409-5519.

What is the provider's specialty?

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