Pennreach
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clementon, New Jersey
1871007286- Practice location
- 43 Park Boulevard, Clementon, NJ 08021
- Phone
- 732-963-4523
- Fax
- 609-259-4120
- Last updated
- November 21, 2017
Pennreach is a healthcare organization based in Clementon, NJ. Pennreach practices in Clementon, NJ. The NPI Number for Pennreach is 1871007286. The current practice location address for Pennreach is 43 Park Boulevard, Clementon, NJ 08021 and can be reached out via phone at 732-963-4523 and via fax at 609-259-4120.
Provider Profile Details
- NPI Number
- 1871007286
- Provider Name
- Pennreach
- Provider Entity Type
- Organization
- Address
- 43 Park Boulevard, Clementon, NJ 08021
- 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 21, 2017
- Last Update Date
- November 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Park Boulevard
Clementon, NJ 08021 - City
- Clementon
- State
- New Jersey
- Zip
- 08021
- 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 1871007286. It was assigned on November 21, 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 43 Park Boulevard, Clementon, NJ 08021. 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 1871007286 directly on the NPPES registry website.