Pennreach
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bridge, New Jersey
1801300371- Practice location
- 1998 Route 18 Apt 103, Old Bridge, NJ 08857-3779
- Phone
- 732-963-4523
- Fax
- 609-259-4120
- Last updated
- November 20, 2017
Pennreach is a healthcare organization based in Old Bridge, NJ. Pennreach practices in Old Bridge, NJ. The NPI Number for Pennreach is 1801300371. The current practice location address for Pennreach is 1998 Route 18 Apt 103, Old Bridge, NJ 08857-3779 and can be reached out via phone at 732-963-4523 and via fax at 609-259-4120.
Provider Profile Details
- NPI Number
- 1801300371
- Provider Name
- Pennreach
- Provider Entity Type
- Organization
- Address
- 1998 Route 18 Apt 103, Old Bridge, NJ 08857-3779
- Phone Number
- 732-963-4523
- Fax Number
- 609-259-4120
- 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
- November 20, 2017
- Last Update Date
- November 20, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1998 Route 18 Apt 103
Old Bridge, NJ 08857-3779 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-3779
- Phone Number
- 732-963-4523
- Fax Number
- 609-259-4120
Provider Business Mailing Address Details
- Address
- 18 S Main St
Allentown, NJ 08501-1610 - City
- Allentown
- State
- NJ
- Zip
- 08501-1610
- Phone Number
- 732-963-4523
- 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 1801300371. It was assigned on November 20, 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 103, Old Bridge, NJ 08857-3779. The office can be reached at 732-963-4523 (phone) or 609-259-4120 (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 1801300371 directly on the NPPES registry website.