OrganizationActive
Volunteers of America
NPI 1972621761 · Mental Illness Community Based Residential Treatment Facility · Fanwood, NJ
Provider details
- NPI number
- 1972621761
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Orietta Brewer, Executive Assistant Ceo(212) 496-4303
- License
- 20001M110440 (NJ)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 20001M110440 (NJ)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
204 Terrill Rd
Fanwood, NJ 07023-1025
Phone: (732) 827-2444
Approximate (ZIP-level) locationGet directions
Mailing address
205 W Milton Ave
Rahway, NJ 07065-3203
Other names (DBA / former)
- Other name
- Volunteers of America-Theodora House
- Other name
- Volunteers of America-Theodora House
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2018-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.