Healthcare Provider Details

I. General information

NPI: 1609863703
Provider Name (Legal Business Name): SPRINGPOINT AT MEADOW LAKES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEADOW LKS
HIGHTSTOWN NJ
08520-4804
US

IV. Provider business mailing address

4814 OUTLOOK DR SUITE 201
WALL TOWNSHIP NJ
07753-6812
US

V. Phone/Fax

Practice location:
  • Phone: 609-426-5845
  • Fax: 609-426-6854
Mailing address:
  • Phone: 609-426-5845
  • Fax: 732-358-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. GARRETT T MIDGET III
Title or Position: CFO
Credential:
Phone: 732-430-3675