BANCROFT NEUROHEALTH – NPI #1558897900
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.

BANCROFT NEUROHEALTH is a community based residential treatment facility located in AUDUBON, NJ. NPPES has assigned the NPI number 1558897900 to BANCROFT NEUROHEALTH on May 04, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BANCROFT NEUROHEALTH is also known by the name BANCROFT-PAYSON AVE. 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 3 years ago on Nov 06, 2023. 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 BANCROFT NEUROHEALTH below.

NPI Profile for
BANCROFT NEUROHEALTH

NPI Number
1558897900
Enumeration Date

(more than 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
BANCROFT NEUROHEALTH
Other Name: BANCROFT-PAYSON AVE
Primary location
4 PAYSON AVE
AUDUBON, NJ 08106
Phone: (800) 774-5516 Fax:
Mailing address
1255 CALDWELL RD
CHERRY HILL, NJ 08034-3220
Phone: (856) 348-1181 Fax:
Organization Subpart
No
Authorized Official
JENNIFER CRIPPS
CHIEF FINANCIAL OFFICER
Phone: (856) 348-1196
Updated
Certification Date
Nov 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
NJ TBI054

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.