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DEVEREUX BRIDGETON
NPI 1770969065
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bridgeton, NJ

Active since August 10, 2015
198 ROADSTOWN RD, BRIDGETON, NJ 08302(856) 599-6400(856) 599-6404 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devereux Bridgeton NPPES

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

DEVEREUX BRIDGETON (NPI 1770969065) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bridgeton, New Jersey and active in the NPI registry since August 2015. The organization lists Carole Cirucci, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1770969065
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDEVEREUX BRIDGETON
Location Address198 ROADSTOWN RDBridgeton, NJ 08302-5747
Mailing Address286 Mantua Grove Rd, Building #4West Deptford, NJ 08066-1738 · (856) 599-6400 · Fax (856) 599-6404
Phone(856) 599-6400
Fax(856) 599-6404
Organization SubpartNo
Authorized OfficialCarole CirucciFinance Director · (856) 599-6429
Enumeration DateAugust 10, 2015
Last NPPES UpdateMay 9, 2017
✔ NPI 1770969065 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.
198 ROADSTOWN RD, Bridgeton, NJ 08302
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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 Devereux Bridgeton's NPI number?

The NPI number for Devereux Bridgeton is 1770969065. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Devereux Bridgeton located?

Devereux Bridgeton is located at 198 Roadstown Rd, Bridgeton, NJ 08302. The listed phone number is (856) 599-6400.

What is Devereux Bridgeton'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 Devereux Bridgeton was last updated on May 9, 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.