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NPI Code Detail

MEDICARE: SPRINGPOINT AT MONTGOMERY, INC.

MEDICARE: SPRINGPOINT AT MONTGOMERY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility80A112NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184021669
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGPOINT AT MONTGOMERY, INC.
Provider Business Mailing Address
First Line : 4814 OUTLOOK DR
Second Line : SUITE 201
City : WALL TOWNSHIP
State : NJ
Zip : 07753-6812
Country : US
Telephone Number : 609-759-3633
Fax Number : 732-358-2178
Provider Business Practice Location Address
First Line : 100 HOLLINSHEAD SPRING RD
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2028
Country : US
Telephone Number : 609-759-3601
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. GARRETT T MIDGETT III
Credential :
Telephone Number : 732-430-3675
Provider Enumeration Date : 11/26/2014
Last Update Date : 05/24/2025

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