OrganizationActive
Serv Connect, Inc
NPI 1245966647 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Willingboro, NJ
Provider details
- NPI number
- 1245966647
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Bacon, Chief Operating Officer(609) 662-3202
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
40 Winterberry Ln
Willingboro, NJ 08046-3415
Phone: (609) 406-0100
Fax: (609) 406-0307
Street-level locationGet directions
Mailing address
20 Scotch Rd Fl 3
Ewing, NJ 08628-2529
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.