ELWYN NEW JERSEY – NPI #1912421686
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

ELWYN NEW JERSEY is a community based residential treatment facility located in MILLVILLE, NJ. NPPES has assigned the NPI number 1912421686 to ELWYN NEW JERSEY on August 03, 2017. 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.

The NPI profile was previously updated about 4 years ago on Aug 12, 2022. 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 ELWYN NEW JERSEY below.

NPI Profile for
ELWYN NEW JERSEY

NPI Number
1912421686
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
ELWYN NEW JERSEY
Primary location
26 N. LADOW AVE., APT. #15J
MILLVILLE, NJ 08332
Phone: (856) 327-7873 Fax: (856) 327-9126
Mailing address
228 W LANDIS AVE BLDG C
VINELAND, NJ 08360-8138
Phone: (856) 794-5300 Fax:
Organization Subpart
Yes - ELWYN NEW JERSEY is subpart of another organization.
Authorized Official
WILLIAM HARTLEY
EXECUTIVE DIRECTOR
Phone: (856) 794-5300
Updated
Certification Date
Aug 12, 2022

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

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.