SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
NPI 1497133094
Intermediate Care Facility, Mental Illness in Pennsauken, NJ

NPI Status: Active since May 14, 2015

Contact Information

2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ
ZIP 08109
Phone: (856) 361-1100

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About SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES

This page provides the complete NPI Profile along with additional information for South Jersey Behavioral Health Resources, a provider established in Pennsauken, New Jersey operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1497133094 assigned on May 2015. The practitioner's primary taxonomy code is 310500000X with license number 26NP05603800 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Miss Delilah Dragon (Lpn)

NPI
1497133094
Provider Name
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
Entity Type
Organization
Location Address
2500 MCCLELLAN AVE STE 300 PENNSAUKEN, NJ 08109
Location Phone
(856) 361-1100
Mailing Address
7 HICKORY CT APT C MAPLE SHADE, NJ 08052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2015
Last Update Date
05-14-2015
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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

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
License No.
26NP05603800
License State
NJ
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

26NP05063800 (NJ)

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

MISS DELILAH DRAGON

Authorized Official Title
LPN
Authorized Official Phone
(856) 577-3964

Reviews for SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES

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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.
1497133094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187236018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 3 + 6 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1497133094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275906349 LASANDRA SMALLEY LPN
Individual
Licensed Practical Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(609) 575-3216
1316393317 LISA FITZPATRICK-GRANT
Individual
Registered Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-1100
1386170298 LAKISHA ROZIER RN
Individual
Registered Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-1100
1790201986 JACQUELINE BOYD
Individual
Licensed Practical Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 488-1583
1235626425 ELIZABETH MAE HOPKINS
Individual
Registered Nurse (Addiction (Substance Use Disorder))2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-1130
1437716974 JILL HALL
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(609) 405-7415
1518098656 KATHLEEN R. WALTERS RN
Individual
Registered Nurse (Psychiatric/Mental Health)2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-2725
1194358788 SHANA CULLEN LCSW
Individual
Social Worker (Clinical)2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(609) 781-1766
1518486950SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC.
Organization
In Home Supportive Care2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-1133
1922862762MRS. AMMA NSUANSA AVANT BSN
Individual
Registered Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(347) 525-7749
1346007077 AARON LEWIS RN
Individual
Registered Nurse (Psychiatric/Mental Health)2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(609) 496-8126
1982460937 ISHA ROBERTS
Individual
Behavior Technician2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(856) 361-1131
1992525059 TIFFANY CHANTEL CASE LPN
Individual
Licensed Practical Nurse2500 MCCLELLAN AVE STE 300
PENNSAUKEN, NJ 08109
(267) 319-0792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497133094, enumerated in the NPI registry as an "organization" on May 14, 2015

The provider is located at 2500 Mcclellan Ave Ste 300 Pennsauken, Nj 08109 and the phone number is (856) 361-1100

This medical organization specializes in Intermediate Care Facility, Mental Illness with taxonomy code 310500000X

This NPI record was last updated on May 14, 2015. 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].
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