Active NPIOrganization

Fountains Ccrc Holding LLC

Skilled Nursing Facility in Atco, New Jersey

NPI Number1174170013
Practice location
114 Hayes Mill RD, Atco, NJ 08004-2457
Fax
—
Last updated
August 26, 2019

Fountains Ccrc Holding LLC is a healthcare organization based in Atco, NJ. Fountains Ccrc Holding LLC practices in Atco, NJ. The NPI Number for Fountains Ccrc Holding LLC is 1174170013. The current practice location address for Fountains Ccrc Holding LLC is 114 Hayes Mill RD, Atco, NJ 08004-2457 and can be reached out via phone at 856-753-2000.

Provider Profile Details

NPI Number
1174170013
Provider Name
Fountains Ccrc Holding LLC
Provider Entity Type
Organization
Address
114 Hayes Mill RD, Atco, NJ 08004-2457
Phone Number
856-753-2000
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Samuel Tennenbaum · Owner · 516-371-9500
Provider Enumeration Date
August 26, 2019
Last Update Date
August 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Hayes Mill RD
Atco, NJ 08004-2457
City
Atco
Zip
08004-2457
Phone Number
856-753-2000
Atco, NJ 08004Get directions →

Provider Business Mailing Address Details

Address
114 Hayes Mill RD
Atco, NJ 08004-2457
City
Atco
State
NJ
Zip
08004-2457

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fountains Ccrc Holding LLC?

The NPI number of Fountains Ccrc Holding LLC is 1174170013. It was assigned on August 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Fountains Ccrc Holding LLC?

Fountains Ccrc Holding LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Fountains Ccrc Holding LLC practice?

The practice location is 114 Hayes Mill RD, Atco, NJ 08004-2457. The office can be reached at 856-753-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174170013 directly on the NPPES registry website.

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