PENNREACH – NPI #1780238139
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.

PENNREACH is a community based residential treatment facility located in WOODBRIDGE TOWNSHIP, NJ. NPPES has assigned the NPI number 1780238139 to PENNREACH on July 24, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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
1780238139
Enumeration Date

(about 7 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
1482 RAHWAY AVENUE
APT 110
WOODBRIDGE TOWNSHIP, NJ 17001
Phone: (215) 409-5519 Fax:
Mailing address
18 S MAIN ST
ALLENTOWN, NJ 08501-1610
Phone: (215) 409-5519 Fax:
Organization Subpart
No
Authorized Official
KRYSTAL ODELL
CEO
Phone: (215) 409-5519
Updated
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)

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.