Pennreach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PENNREACH

Practice address

21 Waker Avenue
Allentown, NJ 08501

Phone

(609) 529-6510

Fax

(609) 259-4120

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal Odell

Title

Ceo

Phone

(215) 409-5519

Specialties & licenses 1

Addresses

Tax ID family

Pennreach87 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.

• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1700431939
  NPD tax ID
• Pennreach

  • Case Management Agency
  • Allentown, NJ
  • NPI 1710364385
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aberdeen, NJ
  • NPI 1720938129
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1740834068
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bridge, NJ
  • NPI 1750895157
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1750935102
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Oceanport, NJ
  • NPI 1760960363
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1770138638
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1780238139
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1790303675
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1790338119
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bridge, NJ
  • NPI 1801300371
  NPD tax ID

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1801514070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011610",
            "telephone_number": "609-529-6510",
            "fax_number": "609-259-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WAKER AVENUE",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "08501",
            "telephone_number": "609-529-6510",
            "fax_number": "609-259-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-409-5519"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalaivani Panneerselvam
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Brielle Lynn Petrella, CLC
• Michele Pflug, RDN
• Kelly A Quaste
• Alexis R Rasmussen, IBCLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Allentown, NJ
• Providers in Allentown, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.