NPIMap

Organization Active NPI

Excel - Cfghs

  • Psychiatric Residential Treatment Facility
  • Camden, NJ
National Provider Identifier
1083830483
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
EXCEL - CFGHS
Practice address
1000 Atlantic Ave
4TH Floor
Camden, NJ 08104-1132
Phone
(856) 983-3900
NPI assigned
Apr 17, 2007
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CFG RESIDENTIALS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Les Pachell
Title
Ceo
Phone
(856) 983-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1000 Atlantic Ave
4TH Floor
Camden, NJ 08104-1132

Mailing address

765 E Route 70
Building a 101
Marlton, NJ 08053-2341

Other identifiers 1

IdentifierTypeStateIssuer
0086428MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Haven Home7 organizations share this tax ID, including this one
Part of
Haven Home

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1083830483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 E ROUTE 70",
            "address_2": "BUILDING A 101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE",
            "address_2": "4TH FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-983-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL - CFGHS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CFG RESIDENTIALS, LLC",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "PACHELL",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-983-3900"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086428",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.