The Devereux Foundation
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clementon, New Jersey
1164956769- Practice location
- 224 Godshalk Avenue, Clementon, NJ 08021
- Phone
- 856-599-6400
- Fax
- 856-599-6404
- Last updated
- April 20, 2017
The Devereux Foundation is a healthcare organization based in Clementon, NJ. The Devereux Foundation practices in Clementon, NJ. The NPI Number for The Devereux Foundation is 1164956769 and holds a License No. GH1554 (NJ). The current practice location address for The Devereux Foundation is 224 Godshalk Avenue, Clementon, NJ 08021 and can be reached out via phone at 856-599-6400 and via fax at 856-599-6404.
Provider Profile Details
- NPI Number
- 1164956769
- Provider Name
- The Devereux Foundation
- Provider Entity Type
- Organization
- Address
- 224 Godshalk Avenue, Clementon, NJ 08021
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Ms. Carole Cirucci · Director Of Finance · 856-599-6429
- Other Names
- Devereux Advanced Behavioral Health (Doing Business As)
- Provider Enumeration Date
- April 20, 2017
- Last Update Date
- April 20, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 224 Godshalk Avenue
Clementon, NJ 08021 - City
- Clementon
- State
- New Jersey
- Zip
- 08021
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
Provider Business Mailing Address Details
- Address
- 286 Mantua Grove Road
West Deptford, NJ 08066 - City
- West Deptford
- State
- NJ
- Zip
- 08066
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
License Information
- License Number
- GH1554
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of The Devereux Foundation?
The NPI number of The Devereux Foundation is 1164956769. It was assigned on April 20, 2017 and is currently active in the NPPES registry.
What is the specialty of The Devereux Foundation?
The Devereux Foundation is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH1554.
Where does The Devereux Foundation practice?
The practice location is 224 Godshalk Avenue, Clementon, NJ 08021. The office can be reached at 856-599-6400 (phone) or 856-599-6404 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164956769 directly on the NPPES registry website.