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BALD EAGLE SENIOR LIVING NPI 1124384904


NPI Information

NPI: 1124384904
Provider Name: BALD EAGLE SENIOR LIVING

Doing Business As: THE CHELSEA AT BALD EAGLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 31D2194611

Address:
197 CAHILL CROSS RD
WEST MILFORD, NJ
ZIP 07480
Phone: (973) 728-6000
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BALD EAGLE SENIOR LIVING is an assisted living facility in West Milford, NJ. The provider is 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. BALD EAGLE SENIOR LIVING NPI is 1124384904. The provider is registered as an organization entity type.
The provider Is Doing Business As The Chelsea At Bald Eagle.

The provider's business location address is:

197 CAHILL CROSS RD
WEST MILFORD, NJ
ZIP 07480-947
Phone: (973) 728-6000
Fax: (973) 657-1657

The provider's authorized official is Deena Schaffer .
The authorized official title is Member and has the following contact phone number (908) 889-4200.

The CLIA number assigned to this NPI record is 31D2194611 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 4/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility70A000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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