SYCAMORE MANOR LLC NPI 1386770410

NPI Information

NPI: 1386770410
Provider Name: SYCAMORE MANOR LLC

Doing Business As: KENSINGTON COURT

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
864 SHREWSBURY AVE
TINTON FALLS, NJ
ZIP 07724
Phone: (732) 784-2400
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SYCAMORE MANOR LLC is an assisted living facility in Tinton Falls, 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. SYCAMORE MANOR LLC NPI is 1386770410. The provider is registered as an organization entity type.
The provider Is Doing Business As Kensington Court.

The provider's business location address is:

864 SHREWSBURY AVE
TINTON FALLS, NJ
ZIP 07724
Phone: (732) 784-2400
Fax: (732) 542-6447

The provider's authorized official is Cheryl Marhan .
The authorized official title is Controller and has the following contact phone number (732) 784-2400.

The enumeration date for this NPI number is 2/25/2007 and was last updated on 7/10/2008.

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
1	310400000X	Assisted Living Facility		Q4VDWW	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8767017	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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