120 124 Noyes Drive Operating Company Llc

LBN: 120 124 Noyes Drive Operating Company Llc
120 124 Noyes Drive Operating Company Llc is an health care organization with primary practice located at 124 Noyes Dr , Park Ridge NJ 07656-1294. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. 120 124 Noyes Drive Operating Company Llc can be contacted via phone (201) 782-0440, or through Gomez, Juliet via phone (973) 339-8889.

Contact Information

Primary practice address
124 Noyes Dr Park Ridge NJ 07656-1294
Phone: (201) 782-0440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Juliet
Phone: (973) 339-8889

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 05A001 New Jersey

Profile Details

NPI number 1770947269
LBN Legal business name 120 124 Noyes Drive Operating Company Llc
DBA Doing business as
Authorized official Gomez, Juliet
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2016
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770947269 NPPES
New Jersey MEDICAID 0512231

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