Van Dyk'S Senior Residence Of Hawthorne, Llc in Hawthorne - Assisted Living Facility
Van Dyk'S Senior Residence Of Hawthorne, Llc - NPI 1730212689
Van Dyk'S Senior Residence Of Hawthorne, Llc is a Assisted Living Facility in Hawthorne, New Jersey. Van Dyk'S Senior Residence Of Hawthorne, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Van Dyk'S Senior Residence Of Hawthorne, Llc is 1730212689. The last update date is 2020-08-22.
Van Dyk'S Senior Residence Of Hawthorne, Llc's current location address is 644 Goffle Rd, Hawthorne, New Jersey. You can contact this provider via phone number 2016897979 and fax number 9733042046. The mailing address for Van Dyk'S Senior Residence Of Hawthorne, Llc is 644 Goffle Rd, Hawthorne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Van Dyk'S Senior Residence Of Hawthorne, Llc |
|---|---|
| Address | 644 Goffle Rd, Hawthorne, New Jersey |
| Phone Number | 2016897979 |
| Fax Number | 9733042046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Shotmeyer H Charles |
| Telephone Number | 2016897979 |
NPI Number Detail
| NPI Number | 1730212689 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 644 Goffle Rd |
|---|---|
| City | Hawthorne |
| State | New Jersey (NJ) |
| Post Code | 75063452 |
| Phone Number | 2016897979 |
| Fax Number | 9733042046 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 8XD1WY |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8712301 | NJ | -- |
Post Comment/ Review Below
What is the Van Dyk'S Senior Residence Of Hawthorne, Llc's 1730212689?
The Van Dyk'S Senior Residence Of Hawthorne, Llc's NPI (National Provider Identifier) Number is 1730212689. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Van Dyk'S Senior Residence Of Hawthorne, Llc is geographically located?
The Van Dyk'S Senior Residence Of Hawthorne, Llc is physically situated at the following location: 644 Goffle Rd, Hawthorne, NJ, 75063452.
What is Van Dyk'S Senior Residence Of Hawthorne, Llc's area of expertise and its corresponding taxonomy classification?
The Van Dyk'S Senior Residence Of Hawthorne, Llc's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1730212689 to Van Dyk'S Senior Residence Of Hawthorne, Llc?
The Van Dyk'S Senior Residence Of Hawthorne, Llc received its 1730212689 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Van Dyk'S Senior Residence Of Hawthorne, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Van Dyk'S Senior Residence Of Hawthorne, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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