ELWYN NEW JERSEY
NPI 1871029017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vineland, NJ

Active since May 09, 2017
1667 E LANDIS AVE, SUITE 4, VINELAND, NJ 08361(856) 794-5300(856) 794-5330 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Feb 3, 2022, Mar 6, 2020 and 1 more (4 updates tracked since 2017).

  • Organization
  • Community Based Residential Treatment Fa...

About ELWYN NEW JERSEY

This page provides the complete NPI Profile along with additional information for Elwyn New Jersey, a provider established in Vineland, 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 1871029017 assigned on May 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. William Hartley (Executive Director)

NPI
1871029017 Verify this NPI
Provider Name
ELWYN NEW JERSEY
Entity Type
Organization
Location Address
1667 E LANDIS AVE SUITE 4 VINELAND, NJ 08361
Location Phone
(856) 794-5300
Location Fax
(856) 794-5330
Mailing Address
228 W LANDIS AVE BLDG C VINELAND, NJ 08360
Mailing Phone
(856) 794-5300
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-09-2017
Last Update Date
08-12-2022
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM HARTLEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(856) 794-5300

Reviews for ELWYN NEW JERSEY

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
1667 E LANDIS AVE
VINELAND, NJ 08361
Pharmacist
1667 E LANDIS AVE, BUILDING C
VINELAND, NJ 08361
Day Training, Developmentally Disabled Services
1667 E LANDIS AVE
VINELAND, NJ 08361
Day Training, Developmentally Disabled Services
1667 E LANDIS AVE, BUILDING 7, SUITE B
VINELAND, NJ 08361
Student in an Organized Health Care Education/Training Program
1667 E LANDIS AVE
VINELAND, NJ 08361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871029017, enumerated as an "organization" on May 09, 2017.

The provider is located at 1667 E LANDIS AVE SUITE 4 VINELAND, NJ 08361 and the phone number is (856) 794-5300.

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