Active NPIOrganization

Mira Vie At Fanwood Opco LLC

Assisted Living Facility in Fanwood, New Jersey

NPI Number1952159865
Practice location
295 South Ave, Fanwood, NJ 07023-1357
Fax
844-808-0071
Last updated
August 16, 2024

Mira Vie At Fanwood Opco LLC is a healthcare organization based in Fanwood, NJ. Mira Vie At Fanwood Opco LLC practices in Fanwood, NJ. The NPI Number for Mira Vie At Fanwood Opco LLC is 1952159865. The current practice location address for Mira Vie At Fanwood Opco LLC is 295 South Ave, Fanwood, NJ 07023-1357 and can be reached out via phone at 908-654-5200 and via fax at 844-808-0071.

Provider Profile Details

NPI Number
1952159865
Provider Name
Mira Vie At Fanwood Opco LLC
Provider Entity Type
Organization
Address
295 South Ave, Fanwood, NJ 07023-1357
Phone Number
908-654-5200
Fax Number
844-808-0071
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Billie Abreu · Director Of Admin · 813-330-2660
Other Names
Mira Vie At Fanwood (Doing Business As)
Provider Enumeration Date
May 7, 2024
Last Update Date
August 16, 2024
Certification Date
August 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 South Ave
Fanwood, NJ 07023-1357
Zip
07023-1357
Phone Number
908-654-5200
Fax Number
844-808-0071
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
4301 Anchor Plaza Pkwy Ste 300
Tampa, FL 33634-7521
City
Tampa
State
FL
Zip
33634-7521
Phone Number
813-330-2660
Fax Number
844-808-0071

License Information

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 Mira Vie At Fanwood Opco LLC?

The NPI number of Mira Vie At Fanwood Opco LLC is 1952159865. It was assigned on May 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Mira Vie At Fanwood Opco LLC?

Mira Vie At Fanwood Opco LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does Mira Vie At Fanwood Opco LLC practice?

The practice location is 295 South Ave, Fanwood, NJ 07023-1357. The office can be reached at 908-654-5200 (phone) or 844-808-0071 (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 1952159865 directly on the NPPES registry website.

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