69 Maple Ave Inc

LBN: 69 Maple Ave Inc
69 Maple Ave Inc is an health care organization with primary practice located at 69 Maple Rd , West Milford NJ 07480-2707. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 69 Maple Ave Inc can be contacted via phone (973) 697-5640, or through Goldman, Beth via phone (732) 446-1804.

Contact Information

Primary practice address
69 Maple Rd West Milford NJ 07480-2707
Phone: (973) 697-5640
Fax: (973) 697-8607
Website:
Map and Directions
Authorized official contact:
Name: Goldman, Beth
Phone: (732) 446-1804

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1073505970
LBN Legal business name 69 Maple Ave Inc
DBA Doing business as
Authorized official Goldman, Beth
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Oct 20th, 2011 - about 13 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 1073505970 NPPES
New Jersey MEDICAID 4496906

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