NPI Code Details Logo

NPI 1396692091

NPI 1396692091 : HEATH VILLAGE, INC. : HACKETTSTOWN, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396692091
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEATH VILLAGE, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/12/2026
-----------------------------------------------------
    Last Update Date     |    03/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    430 SCHOOLEYS MOUNTAIN RD 
-----------------------------------------------------
    City                 |    HACKETTSTOWN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07840-4039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-852-4801
-----------------------------------------------------
    Fax                  |    908-684-5074
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    430 SCHOOLEYS MOUNTAIN RD 
-----------------------------------------------------
    City                 |    HACKETTSTOWN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07840-4039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-852-4801
-----------------------------------------------------
    Fax                  |    908-684-5074
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     MARY ELLEN  BOVE 
-----------------------------------------------------
    Credential           |    LNHA
-----------------------------------------------------
    Telephone            |    908-684-5220
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    310400000X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.