DEVEREUX ADVANCED BEHAVIORAL HEALTH
NPI 1083148670
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bound Brook, NJ

NPI Status: Active since April 20, 2017

Contact Information

933 WEST MEADOW DRIVE
BOUND BROOK, NJ
ZIP 08805
Phone: (856) 599-6400
Fax: (856) 599-6404

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About DEVEREUX ADVANCED BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Devereux Advanced Behavioral Health, a provider established in Bound Brook, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1083148670 assigned on April 2017. The practitioner's primary taxonomy code is 320900000X with license number GH1208 (NJ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Devereux Advanced Behavioral Health. The authorized official of this NPI record is Ms. Carole Cirucci (Director Of Finance)

NPI
1083148670
Provider Legal Name
THE DEVEREUX FOUNDATION
Other Organization Name
DEVEREUX ADVANCED BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
933 WEST MEADOW DRIVE BOUND BROOK, NJ 08805
Location Phone
(856) 599-6400
Location Fax
(856) 599-6404
Mailing Address
286 MANTUA GROVE ROAD WEST DEPTFORD, NJ 08066
Mailing Phone
(856) 599-6400
Mailing Fax
(856) 599-6404
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2017
Last Update Date
04-20-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
GH1208
License State
NJ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROLE CIRUCCI

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(856) 599-6429

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0399507MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083148670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201632416614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 4 + 1 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083148670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083148670, enumerated in the NPI registry as an "organization" on April 20, 2017

The provider is located at 933 West Meadow Drive Bound Brook, Nj 08805 and the phone number is (856) 599-6400

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 20, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.