Beacon Of Life Central Nj
PACE Provider Organization in Lakehurst, New Jersey
1700544798- Practice location
- 800 Route 70, Lakehurst, NJ 08733-2734
- Phone
- 732-716-4600
- Fax
- —
- Last updated
- April 10, 2025
Beacon Of Life Central Nj is a healthcare organization based in Lakehurst, NJ. Beacon Of Life Central Nj practices in Lakehurst, NJ. The NPI Number for Beacon Of Life Central Nj is 1700544798. The current practice location address for Beacon Of Life Central Nj is 800 Route 70, Lakehurst, NJ 08733-2734 and can be reached out via phone at 732-716-4600.
Provider Profile Details
- NPI Number
- 1700544798
- Provider Name
- Beacon Of Life Central Nj
- Provider Entity Type
- Organization
- Address
- 800 Route 70, Lakehurst, NJ 08733-2734
- Phone Number
- 732-716-4600
- Primary Taxonomy
- PACE Provider Organization · 251T00000X
- Organization Subpart
- No
- Authorized Official
- Michael Czermak · Chief Administrative Officer · 855-801-2653
- Other Names
- Boldage Pace Central Nj (Doing Business As)
Boldage Pace (Other Name) - Provider Enumeration Date
- December 7, 2021
- Last Update Date
- April 10, 2025
- Certification Date
- April 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Route 70
Lakehurst, NJ 08733-2734 - City
- Lakehurst
- State
- New Jersey
- Zip
- 08733-2734
- Phone Number
- 732-716-4600
Provider Business Mailing Address Details
- Address
- 106 W Moore Ave Ste A
Mooresville, NC 28115-3552 - City
- Mooresville
- State
- NC
- Zip
- 28115-3552
- Phone Number
- 732-806-3205
License Information
- Taxonomy
- PACE Provider Organization · 251T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Beacon Of Life Central Nj?
The NPI number of Beacon Of Life Central Nj is 1700544798. It was assigned on December 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Beacon Of Life Central Nj?
Beacon Of Life Central Nj is registered under the primary taxonomy PACE Provider Organization (code 251T00000X).
Where does Beacon Of Life Central Nj practice?
The practice location is 800 Route 70, Lakehurst, NJ 08733-2734. The office can be reached at 732-716-4600 (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 1700544798 directly on the NPPES registry website.