Healthcare Provider Details

I. General information

NPI: 1518088558
Provider Name (Legal Business Name): SPRINGPOINT AT THE ATRIUM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 RIVERSIDE AVE
RED BANK NJ
07701-1025
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 732-784-9800
  • Fax: 732-842-4934
Mailing address:
  • Phone: 732-430-3650
  • Fax: 732-430-3711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. GARRETT MIDGETT
Title or Position: SR VP/CFO
Credential:
Phone: 732-430-3675