Pennreach
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lee, New Jersey
1467007823- Practice location
- 69 Main Street, Apt 608, Fort Lee, NJ 07024-0850
- Phone
- 215-409-5519
- Fax
- —
- Last updated
- August 2, 2019
Pennreach is a healthcare organization based in Fort Lee, NJ. Pennreach practices in Fort Lee, NJ. The NPI Number for Pennreach is 1467007823. The current practice location address for Pennreach is 69 Main Street, Apt 608, Fort Lee, NJ 07024-0850 and can be reached out via phone at 215-409-5519.
Provider Profile Details
- NPI Number
- 1467007823
- Provider Name
- Pennreach
- Provider Entity Type
- Organization
- Address
- 69 Main Street, Apt 608, Fort Lee, NJ 07024-0850
- Phone Number
- 215-409-5519
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Krystal Odell · Ceo · 215-409-5519
- Provider Enumeration Date
- August 2, 2019
- Last Update Date
- August 2, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Main Street
Apt 608
Fort Lee, NJ 07024-0850 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-0850
- Phone Number
- 215-409-5519
Provider Business Mailing Address Details
- Address
- 18 S Main St
Allentown, NJ 08501-1610 - City
- Allentown
- State
- NJ
- Zip
- 08501-1610
- Phone Number
- 215-409-5519
License Information
- 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 Pennreach?
The NPI number of Pennreach is 1467007823. It was assigned on August 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Pennreach?
Pennreach is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Pennreach practice?
The practice location is 69 Main Street, Apt 608, Fort Lee, NJ 07024-0850. The office can be reached at 215-409-5519 (phone).
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 1467007823 directly on the NPPES registry website.