La Gomera Llc

LBN: La Gomera Llc
La Gomera Llc is an health care organization with primary practice located at 3 Corbett Way , Eatontown NJ 07724-2283. The organization recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. La Gomera Llc can be contacted via phone (657) 304-0103, or through Bucheger, Catherine via phone (262) 490-7933.

Contact Information

Primary practice address
3 Corbett Way Eatontown NJ 07724-2283
Phone: (657) 304-0103
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bucheger, Catherine
Phone: (262) 490-7933

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1497495840
LBN Legal business name La Gomera Llc
DBA Doing business as
Authorized official Bucheger, Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2022
Last updated Mar 31st, 2022 - about 2 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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