PENNREACH – NPI #1467979039
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PENNREACH is a community based residential treatment facility located in ALLENTOWN, NJ. NPPES has assigned the NPI number 1467979039 to PENNREACH on August 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 14 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENNREACH below.

NPI Profile for
PENNREACH

NPI Number
1467979039
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENNREACH
Primary location
18 S MAIN ST
ALLENTOWN, NJ 08501-1610
Phone: (215) 475-2401 Fax:
14 Other location(s):
1 Spring St
Bordentown, NJ 08505-1866
Phone: (215) 475-2401
43 Park Blvd
Clementon, NJ 08201
Phone: (215) 475-2401
12A Gloria Robinson Ct
Jersey City, NJ 07306-7038
Phone: (215) 475-2401
12C Gloria Robinson Ct
Jersey City, NJ 07306-7043
Phone: (215) 475-2401
161 Garrett Dr
Long Branch, NJ 07740-5587
Phone: (215) 475-2401
163 Garrett Dr
Long Branch, NJ 07740-5587
Phone: (215) 475-2401
213 Garrett Dr
Long Branch, NJ 07740-5593
Phone: (215) 475-2401
220 Riviera Lane
Long Branch, NJ 07740
Phone: (215) 475-2401
230 Riviera Lane
Long Branch, NJ 07740
Phone: (215) 475-2401
532 High St
Long Branch, NJ 07740-5510
Phone: (215) 475-2401
1998 Route 18 N
103
Old Bridge, NJ 08857-3779
Phone: (215) 475-2401
1998 Route 18 N
Apartment 105
Old Bridge, NJ 08857-3779
Phone: (215) 475-2401
1998 Route 18 N
Apartment 106
Old Bridge, NJ 08857
Phone: (215) 475-2401
667 E 33rd St
Paterson, NJ 07513-1158
Phone: (215) 475-2401
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAULINE BAILO
PROGRAM DIRECTOR
Phone: (215) 475-2401
Updated
Identifiers

Identifiers for PENNREACH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ1710364385
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
320800000X
- Community Based Residential Treatment Facility, Mental Illness
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.