The Devereux Foundation
Devereux Advanced Behavioral Health · Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 109 Waverly Road, Cardiff, NJ 08234
Phone: 8565996400

The Devereux Foundation (NPI# 1164956751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164956751
Entity Type Organization
Organization Name THE DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice Address 109 Waverly Road
Cardiff
NJ 08234
Practice Telephone 8565996400
Practice Fax Number 8565996404
Mailing Address 286 Mantua Grove Road
West Deptford
NJ 08066
Mailing Telephone 8565996400
Mailing Fax Number 8565996404
Authorized Official Name Ms. Carole Cirucci (DIRECTOR OF FINANCE)
Authorized Official Telephone 8565996429
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-04-20
Last Update Date 2017-04-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities GH1432 NJ

Other Provider Identifier

State Identifier Issuer Type Code
NJ 0399507 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Devereux Advanced Behavioral Health Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1760004568 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 407 Greentree Rd, Sewell, NJ 08080-9354 2020-05-14
1700425287 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 2019-12-31
1346759867 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 2017-09-27
1295261683 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 2017-05-04
1417482704 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 26 Aspen Hill, Deptford, NJ 08096 2017-04-25
1619402906 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 27 Aspen Hill, Deptford, NJ 08096 2017-04-25
1629503917 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 28 Aspen Hill, Deptford, NJ 08096 2017-04-25
1376078642 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 2017-04-25
1730614017 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 48 Skyline Drive, Sparta, NJ 07871 2017-04-25
1326573601 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 103 Heritage Court, Pennington, NJ 08534 2017-04-25
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1477158558 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Apt 1, Lakewood, NJ 08701-4935 2020-12-04
1750986840 Kelsch Associates Inc. New Jersey Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1801 Broadacres Dr Apt 201, Clementon, NJ 08021-5656 2020-12-04
1649875733 Kelsch Associates Inc. New Jersey Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1801 Broadacres Dr Apt 202, Clementon, NJ 08021-5656 2020-12-04
1376148411 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 2, Lakewood, NJ 08701-4935 2020-12-04
1891390936 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 3, Lakewood, NJ 08701-4935 2020-12-04
1538764675 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 4, Lakewood, NJ 08701-4935 2020-12-04
1922603091 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 5, Lakewood, NJ 08701-4935 2020-12-04
1104421262 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 6, Lakewood, NJ 08701-4935 2020-12-04
1851996912 Ladacin Network Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 755 Cedarbridge Ave Unit 7, Lakewood, NJ 08701-4935 2020-12-04
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Office Location

Street Address 109 WAVERLY ROAD
City CARDIFF
State NJ
Zip Code 08234

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1386164143 Community Quest, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Apartment 312 400 Manor Drive, Absecon, NJ 08234 2017-06-22
1639607740 Swarnalata Debbarma Psychiatry & Neurology Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 2017-06-02
1417481003 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 409 Dogwood Lane, Egg Harbor Township, NJ 08234 2017-04-20
1073047668 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11 Stone Mill Court, Egg Harbor Township, NJ 08234 2017-04-20
1831623412 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 105 Springfield Avenue, Mc Kee City, NJ 08234 2017-04-20
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Competitor

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City CARDIFF
Zip Code 08234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.