PENNREACH NPI 1285288613

NPI Information

NPI: 1285288613
Provider Name: PENNREACH
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1482 RAHWAY AVENUE
APT 119
WOODBRIDGE, NJ
ZIP 17001
Phone: (215) 409-5519
Get Directions

PENNREACH is a community based residential treatment facility, intellectual and/or developmental disabilities in Woodbridge, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PENNREACH NPI is 1285288613. The provider is registered as an organization entity type.

The provider's business location address is:

1482 RAHWAY AVENUE
APT 119
WOODBRIDGE, NJ
ZIP 17001-850
Phone: (215) 409-5519

The provider's authorized official is Krystal Odell .
The authorized official title is Ceo and has the following contact phone number (215) 409-5519.

The enumeration date for this NPI number is 7/24/2019 and was last updated on 7/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »