Van Dyk At Bald Eagle Commons, Llc

LBN: Van Dyk At Bald Eagle Commons, Llc
Van Dyk At Bald Eagle Commons, Llc is an health care organization with primary practice located at 197 Cahill Cross Rd , West Milford NJ 07480-1947. 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. Van Dyk At Bald Eagle Commons, Llc can be contacted via phone (201) 689-7979, or through Shotmeyer, Charles H via phone (201) 689-7979.

Contact Information

Primary practice address
197 Cahill Cross Rd West Milford NJ 07480-1947
Phone: (201) 689-7979
Fax: (973) 304-2046
Website:
Map and Directions
Authorized official contact:
Name: Shotmeyer, Charles H
Phone: (201) 689-7979

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 70A000 New Jersey

Profile Details

NPI number 1154454023
LBN Legal business name Van Dyk At Bald Eagle Commons, Llc
DBA Doing business as
Authorized official Shotmeyer, Charles H
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1154454023 NPPES
New Jersey MEDICAID 8379009

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