Pennreach
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bridge, New Jersey
1629582416- Practice location
- 1998 Route 18 Apt 106, Old Bridge, NJ 08857-3779
- Phone
- 215-409-5519
- Fax
- 609-529-6510
- Last updated
- December 1, 2017
Pennreach is a healthcare organization based in Old Bridge, NJ. Pennreach practices in Old Bridge, NJ. The NPI Number for Pennreach is 1629582416. The current practice location address for Pennreach is 1998 Route 18 Apt 106, Old Bridge, NJ 08857-3779 and can be reached out via phone at 215-409-5519 and via fax at 609-529-6510.
Provider Profile Details
- NPI Number
- 1629582416
- Provider Name
- Pennreach
- Provider Entity Type
- Organization
- Address
- 1998 Route 18 Apt 106, Old Bridge, NJ 08857-3779
- Phone Number
- 215-409-5519
- Fax Number
- 609-529-6510
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Pauline Bailo · Director · 215-475-2401
- Provider Enumeration Date
- December 1, 2017
- Last Update Date
- December 1, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1998 Route 18 Apt 106
Old Bridge, NJ 08857-3779 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-3779
- Phone Number
- 215-409-5519
- Fax Number
- 609-529-6510
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
- Fax Number
- 609-259-4120
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 1629582416. It was assigned on December 1, 2017 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 1998 Route 18 Apt 106, Old Bridge, NJ 08857-3779. The office can be reached at 215-409-5519 (phone) or 609-529-6510 (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 1629582416 directly on the NPPES registry website.