Elwyn New Jersey

Primary specialty

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

Legal business name

ELWYN NEW JERSEY

Practice address

2564 Brookfield St
Vineland, NJ 08361-7348

Phone

(856) 205-9692

Fax

(856) 205-1379

NPI assigned

May 9, 2017

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ELWYN NEW JERSEYAs reported in NPPES

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

Authorized official

Name

Mr. William Hartley

Title

Executive Director

Phone

(856) 794-5300

Specialties & licenses 1

Addresses

Tax ID family

Elwyn New Jersey72 organizations share this tax ID, including this one

Part of

Elwyn New Jersey

Organizations with this tax ID in the same state 16

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

• Elwyn New Jersey

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1730562471
  NPD tax ID
• Elwyn New Jersey

  • Community/Behavioral Health Agency
  • Vineland, NJ
  • NPI 1750033296
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1750817094
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cherry Hill, NJ
  • NPI 1770041790
  NPD tax ID
• Elwyn New Jersey

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1780067595
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1780111419
  NPD tax ID
• Elwyn New Jersey

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1821471566
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Millville, NJ
  • NPI 1831625078
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dorothy, NJ
  • NPI 1841726866
  NPD tax ID
• Elwyn New Jersey

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1851774665
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pitman, NJ
  • NPI 1871017368
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1871029017
  NPD tax ID

Locations

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1891221032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W LANDIS AVE BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608138",
            "telephone_number": "856-794-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 BROOKFIELD ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617348",
            "telephone_number": "856-205-9692",
            "fax_number": "856-205-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN NEW JERSEY",
        "enumeration_date": "2017-05-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Stefanie Emanuel, PHARM.D.
• Encompass Health Rehabilitation Hospital of Vineland, LLC (Encompass Health Rehabilitation Hospital of Vineland)
• Mary Allison Endicott, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Vineland, NJ
• Providers in Vineland, 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 12, 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.