Active NPIOrganization

Good Shepard Adult Day Care LLC

Clinic/Center, Adult Day Care in Lyndhurst, New Jersey

NPI Number1528291663
Practice location
725 Valley Brook Ave, Lyndhurst, NJ 07071-2030
Fax
201-933-0611
Last updated
August 24, 2009

Good Shepard Adult Day Care LLC is a healthcare organization based in Lyndhurst, NJ. Good Shepard Adult Day Care LLC practices in Lyndhurst, NJ. The NPI Number for Good Shepard Adult Day Care LLC is 1528291663 and holds a License No. 02007 (NJ). The current practice location address for Good Shepard Adult Day Care LLC is 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030 and can be reached out via phone at 201-933-0711 and via fax at 201-933-0611.

Provider Profile Details

NPI Number
1528291663
Provider Name
Good Shepard Adult Day Care LLC
Provider Entity Type
Organization
Address
725 Valley Brook Ave, Lyndhurst, NJ 07071-2030
Phone Number
201-933-0711
Fax Number
201-933-0611
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Mr. Ragae Wassef · President · 973-930-5687
Provider Enumeration Date
August 24, 2009
Last Update Date
August 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 Valley Brook Ave
Lyndhurst, NJ 07071-2030
Zip
07071-2030
Phone Number
201-933-0711
Fax Number
201-933-0611
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
725 Valley Brook Ave
Lyndhurst, NJ 07071-2030
City
Lyndhurst
State
NJ
Zip
07071-2030
Phone Number
201-933-0711
Fax Number
201-933-0611

License Information

License Number
02007
License State
NJ
Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · 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 Good Shepard Adult Day Care LLC?

The NPI number of Good Shepard Adult Day Care LLC is 1528291663. It was assigned on August 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Good Shepard Adult Day Care LLC?

Good Shepard Adult Day Care LLC is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X), licensed in NJ under license number 02007.

Where does Good Shepard Adult Day Care LLC practice?

The practice location is 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030. The office can be reached at 201-933-0711 (phone) or 201-933-0611 (fax).

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 1528291663 directly on the NPPES registry website.

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