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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073505970 | NPPES |
New Jersey | MEDICAID | 4496906 |
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