NPIMap

Organization Active NPI

Bancroft, a New Jersey Nonprofit Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Medford, NJ
National Provider Identifier
1467987149
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH1094 Issued in NJ
Legal business name
BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
Practice address
124 Himmelein Rd
Medford, NJ 08055
Phone
(800) 774-5516
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Jennifer Cripps
Title
Chief Financial Officer
Phone
(856) 348-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1094 NJ Primary

Addresses

Primary practice location

124 Himmelein Rd
Medford, NJ 08055

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (856) 348-1181

Other names 1

  • Bancroft-Himmelein Rd Other name

National Provider Directory

National Provider Directory
Tax ID family
Bancroft Neurohealth249 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1467987149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "856-348-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HIMMELEIN RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "800-774-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT, A NEW JERSEY NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-348-1196"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft-Himmelein Rd",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bancroft-Himmelein Rd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.