Pennreach
NPI 1053966986 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Lee, NJ
Pennreach is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fort Lee, NJ (NPI 1053966986).
Provider details
- NPI number
- 1053966986
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Krystal Odell, Ceo(215) 409-5519
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-08-07
Frequently asked questions
- What is Pennreach's NPI number?
- Pennreach's National Provider Identifier (NPI) is 1053966986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennreach?
- Pennreach is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Pennreach located?
- Pennreach's practice location on file with NPPES is 69 Main St Apt 812, Fort Lee, NJ 07024-6909.
- What is Pennreach's phone number?
- The practice phone number listed in the NPPES registry for Pennreach is (215) 409-5519.
- Who is the authorized official for Pennreach?
- The authorized official listed on Pennreach's NPPES record is Krystal Odell, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennreach's NPI active?
- Yes — Pennreach's NPI (1053966986) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.