Active NPIOrganization

493 Black Oak Ridge Road, LLC

Assisted Living Facility in Wayne, New Jersey

NPI Number1619362563
Practice location
493 Black Oak Ridge RD, Wayne, NJ 07470-6501
Fax
—
Last updated
March 30, 2015

493 Black Oak Ridge Road, LLC is a healthcare organization based in Wayne, NJ. 493 Black Oak Ridge Road, LLC practices in Wayne, NJ. The NPI Number for 493 Black Oak Ridge Road, LLC is 1619362563 and holds a License No. VQXWIZ (NJ). The current practice location address for 493 Black Oak Ridge Road, LLC is 493 Black Oak Ridge RD, Wayne, NJ 07470-6501 and can be reached out via phone at 973-692-9500.

Provider Profile Details

NPI Number
1619362563
Provider Name
493 Black Oak Ridge Road, LLC
Provider Entity Type
Organization
Address
493 Black Oak Ridge RD, Wayne, NJ 07470-6501
Phone Number
973-692-9500
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
Yes
Parent Organization
493 Black Oak Ridge Road, LLC
Authorized Official
Androsky Alberto Lugo, ESQ · Executive Vice President & G.c. · 201-242-4006
Other Names
Care One At Wayne Assisted Living (Doing Business As)
Provider Enumeration Date
March 30, 2015
Last Update Date
March 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
493 Black Oak Ridge RD
Wayne, NJ 07470-6501
City
Wayne
Zip
07470-6501
Phone Number
973-692-9500
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
493 Black Oak Ridge RD
Wayne, NJ 07470-6501
City
Wayne
State
NJ
Zip
07470-6501
Phone Number
973-692-9500

License Information

License Number
VQXWIZ
License State
NJ
Taxonomy
Assisted Living Facility · 310400000X · 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 493 Black Oak Ridge Road, LLC?

The NPI number of 493 Black Oak Ridge Road, LLC is 1619362563. It was assigned on March 30, 2015 and is currently active in the NPPES registry.

What is the specialty of 493 Black Oak Ridge Road, LLC?

493 Black Oak Ridge Road, LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in NJ under license number VQXWIZ.

Where does 493 Black Oak Ridge Road, LLC practice?

The practice location is 493 Black Oak Ridge RD, Wayne, NJ 07470-6501. The office can be reached at 973-692-9500 (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 1619362563 directly on the NPPES registry website.

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