Healthcare Provider Details

I. General information

NPI: 1093174955
Provider Name (Legal Business Name): THE VILLA AT FLORHAM PARK INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 PARK AVE
FLORHAM PARK NJ
07932-1049
US

IV. Provider business mailing address

3 MANHATTAN DR
BURLINGTON NJ
08016-4119
US

V. Phone/Fax

Practice location:
  • Phone: 973-867-1514
  • Fax:
Mailing address:
  • Phone: 609-386-7171
  • Fax: 609-386-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JEANNINE RICHMAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 609-781-1379