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1972285344 NPI number — CARE HAVEN SENIOR LIVING LLC

NPI Number: 1972285344
Health Care Provider/Practitioner: CARE HAVEN SENIOR LIVING LLC

Information about “1972285344” NPI (CARE HAVEN SENIOR LIVING LLC) exists in 1972285344 in HTML format HTML  |  1972285344 in plain Text format TXT  |  1972285344 in PDF (Portable Document Format) PDF  |  1972285344 in an XML format XML  formats.

NPI Number : 1972285344 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972285344",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CARE HAVEN SENIOR LIVING LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 IENTILE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE TWP",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08831-3705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-343-2683",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1013 E GIBSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARCADIA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34266-5008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-993-9760",
    "PracticeLocationAddressFaxNumber": "863-993-0208",
    "EnumerationDate": "08/03/2023",
    "LastUpdateDate": "08/03/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SOIN",
    "AuthorizedOfficialFirstName": "ASHWANI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-343-2683",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3104A0625X",
          "TaxonomyName": "Assisted Living Facility (Mental Illness)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3104A0630X",
          "TaxonomyName": "Assisted Living Facility (Behavioral Disturbances)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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