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PENNREACH
NPI 1770138638
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lee, NJ

Active since August 07, 2019
69 MAIN ST APT 1108, FORT LEE, NJ 07024(215) 409-5519 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pennreach NPPES

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

PENNREACH (NPI 1770138638) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Lee, New Jersey and active in the NPI registry since August 2019. The organization lists Krystal Odell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770138638
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePENNREACH
Location Address69 MAIN ST APT 1108Fort Lee, NJ 07024-6909
Mailing Address18 S Main StAllentown, NJ 08501-1610
Phone(215) 409-5519
Organization SubpartNo
Authorized OfficialKrystal OdellCeo · (215) 409-5519
Enumeration DateAugust 7, 2019
✔ NPI 1770138638 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.
69 MAIN ST APT 1108, Fort Lee, NJ 07024
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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 Pennreach's NPI number?

The NPI number for Pennreach is 1770138638. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Pennreach located?

Pennreach is located at 69 Main St Apt 1108, Fort Lee, NJ 07024. The listed phone number is (215) 409-5519.

What is Pennreach'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 Pennreach was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.