Brea Emeritus in Emerson - Assisted Living Facility
Brea Emeritus - NPI 1215146832
Brea Emeritus is a Assisted Living Facility in Emerson, New Jersey. Brea Emeritus practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Brea Emeritus is 1215146832. The last update date is 2015-05-14.
Brea Emeritus's current location address is 590 Old Hook Rd, Emerson, New Jersey. You can contact this provider via phone number 2019869009 and fax number 2019869777. The mailing address for Brea Emeritus is 590 Old Hook Rd, Emerson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brea Emeritus |
|---|---|
| Address | 590 Old Hook Rd, Emerson, New Jersey |
| Phone Number | 2019869009 |
| Fax Number | 2019869777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ohlendorf Mark |
| Telephone Number | 4149185403 |
NPI Number Detail
| NPI Number | 1215146832 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2015-05-14 |
Provider Mailing Address Detail
| Address | 590 Old Hook Rd |
|---|---|
| City | Emerson |
| State | New Jersey (NJ) |
| Post Code | 76301378 |
| Phone Number | 2019869009 |
| Fax Number | 2019869777 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 05A004 |
|
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 |
|---|---|---|---|
| 74578 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brea Emeritus by the Centers for Medicare & Medicaid Services (CMS)?
The Brea Emeritus has been assigned the NPI (National Provider Identifier) 1215146832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Brea Emeritus's physical address?
The Brea Emeritus is physically located at 590 Old Hook Rd, in the city of Emerson, NJ, with the postal code 76301378.
What is Brea Emeritus's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brea Emeritus's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
When was the Brea Emeritus's 1215146832 issued?
The Brea Emeritus's 1215146832 was issued on 2007-05-21.
As of what date were the details related to Brea Emeritus most recently updated or revised?
The information pertaining to Brea Emeritus, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-14.