Brea West Orange, Llc in West Orange - Assisted Living Facility
Brea West Orange, Llc - NPI 1518001817
Brea West Orange, Llc is a Assisted Living Facility in West Orange, New Jersey. Brea West Orange, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Brea West Orange, Llc is 1518001817. The last update date is 2016-06-13.
Brea West Orange, Llc's current location address is 520 Prospect Ave, West Orange, New Jersey. You can contact this provider via phone number 9733255700 and fax number 9733256800. The mailing address for Brea West Orange, Llc is 520 Prospect Ave, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brea West Orange, Llc |
|---|---|
| Address | 520 Prospect Ave, West Orange, New Jersey |
| Phone Number | 9733255700 |
| Fax Number | 9733256800 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP, CHIEF |
|---|---|
| Authorized Official Name | Richardson Bryan |
| Telephone Number | 6155648131 |
NPI Number Detail
| NPI Number | 1518001817 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2016-06-13 |
Provider Mailing Address Detail
| Address | 520 Prospect Ave |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 70523229 |
| Phone Number | 9733255700 |
| Fax Number | 9733256800 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 30A001 |
|
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 |
|---|---|---|---|
| 129321 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brea West Orange, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Brea West Orange, Llc has been assigned the NPI (National Provider Identifier) 1518001817. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brea West Orange, Llc?
The Brea West Orange, Llc is physically situated at 520 Prospect Ave, in the city of West Orange, state of NJ, with the postal code 70523229.
What is Brea West Orange, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brea West Orange, Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.
When did Brea West Orange, Llc receive its 1518001817 assignment?
The Brea West Orange, Llc was assigned its 1518001817 on 2007-02-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Brea West Orange, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brea West Orange, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-06-13.
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