The Devereux Foundation

Primary specialty

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

License

GH1269 Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

105 Springfield Avenue
MC Kee City, NJ 08234

Phone

(856) 599-6400

Fax

(856) 599-6404

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By 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

Ms. Carole Cirucci

Title

Director of Finance

Phone

(856) 599-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devereux Advanced Behavioral Health Doing business as

Tax ID family

Comm SVCS of Devereux332 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.

• Devereux Advanced Behavioral Health

  dba The Devereux Foundation

  • Developmentally Disabled Services Day Training Agency
  • West Deptford, NJ
  • NPI 1841920329
  NPD tax ID
• Devereux Advanced Behavioral Health

  dba The Devereux Foundation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cape May Court House, NJ
  • NPI 1881368264
  NPD tax ID
• Devereux Bridgeton

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1770969065
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clarksboro, NJ
  • NPI 1700443579
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pilesgrove, NJ
  • NPI 1801435466
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1811653843
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Lakehurst, NJ
  • NPI 1861115081
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hasbrouck Heights, NJ
  • NPI 1700310380
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hillsborough, NJ
  • NPI 1710411301
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, NJ
  • NPI 1710411319
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somers Point, NJ
  • NPI 1730613316
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, NJ
  • NPI 1730614017
  NPD tax ID

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1831623412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE ROAD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPRINGFIELD AVENUE",
            "city": "MC KEE CITY",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CIRUCCI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "856-599-6429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Advanced Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.