BANCROFT-PORTSMOUTH RD
NPI 1861928285
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cherry Hill, NJ
- Organization
- Community Based Residential Treatment Fa...
About BANCROFT-PORTSMOUTH RD
This page provides the complete NPI Profile along with additional information for Bancroft-portsmouth Rd, a provider established in Cherry Hill, 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 1861928285 assigned on May 2017. The practitioner's primary taxonomy code is 320900000X with license number GH2276 (NJ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Bancroft-portsmouth Rd. The authorized official of this NPI record is Jennifer Cripps (Chief Financial Officer)
- NPI
- 1861928285 Verify this NPI
- Provider Legal Name
- BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
- Other Organization Name
- BANCROFT-PORTSMOUTH RD
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 302 PORTSMOUTH RD CHERRY HILL, NJ 08034
- Location Phone
- (800) 774-5516
- Mailing Address
- 1255 CALDWELL RD CHERRY HILL, NJ 08034
- Mailing Phone
- (856) 348-1181
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2017
- Last Update Date
- 11-08-2023
- 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
- License No.
- GH2276
- License State
- NJ
- 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 1861928285, enumerated as an "organization" on May 04, 2017.
The provider is located at 302 PORTSMOUTH RD CHERRY HILL, NJ 08034 and the phone number is (800) 774-5516.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.