Healthcare Provider Details

I. General information

NPI: 1114899606
Provider Name (Legal Business Name): CGL LEARNING INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1458 LIBERTY AVE
HILLSIDE NJ
07205-1334
US

IV. Provider business mailing address

1458 LIBERTY AVE
HILLSIDE NJ
07205-1334
US

V. Phone/Fax

Practice location:
  • Phone: 908-818-1290
  • Fax: 862-231-6318
Mailing address:
  • Phone: 908-818-1290
  • Fax: 862-231-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CLIFF GUS LACHAPELLE
Title or Position: OWNER
Credential: HEALTH CARE SERVICE
Phone: 347-753-5921