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EVERMAY AT BRANCHVILLE LLC NPI 1528320405


NPI Information

NPI: 1528320405
Provider Name: EVERMAY AT BRANCHVILLE, LLC

Doing Business As: BENTLEY ASSISTED LIVING AT BRANCHVILLE

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

CLIA Number: 31D1095406

Address:
3 PHILLIPS RD
BRANCHVILLE, NJ
ZIP 07826
Phone: (973) 948-8884
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EVERMAY AT BRANCHVILLE, LLC is an assisted living facility in Branchville, 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. EVERMAY AT BRANCHVILLE, LLC NPI is 1528320405. The provider is registered as an organization entity type.
The provider Is Doing Business As Bentley Assisted Living At Branchville.

The provider's business location address is:

3 PHILLIPS RD
BRANCHVILLE, NJ
ZIP 07826-333
Phone: (973) 948-8884
Fax: (973) 948-2502

The provider's authorized official is Allison Kuiken .
The authorized official title is Admininstrator and has the following contact phone number (973) 948-8884.

The CLIA number assigned to this NPI record is 31D1095406 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2012 and was last updated on 6/15/2012.


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 FacilityNEW JERSEYYes

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
10145173MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.