610 TOWNBANK ROAD OPERATIONS LLC NPI 1831134923

NPI Information

NPI: 1831134923
Provider Name: 610 TOWNBANK ROAD OPERATIONS LLC

Doing Business As: VICTORIA COMMONS RETIREMENT CENTER

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

CLIA Number: 31D2193625

Address:
610 TOWN BANK RD
NORTH CAPE MAY, NJ
ZIP 08204
Phone: (609) 898-0044
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610 TOWNBANK ROAD OPERATIONS LLC is an assisted living facility in North Cape May, 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. 610 TOWNBANK ROAD OPERATIONS LLC NPI is 1831134923. The provider is registered as an organization entity type.
The provider Is Doing Business As Victoria Commons Retirement Center.

The provider's business location address is:

610 TOWN BANK RD
NORTH CAPE MAY, NJ
ZIP 08204-561
Phone: (609) 898-0044
Fax: (609) 898-9644

The provider's authorized official is Walter Kieler .
The authorized official title is President and has the following contact phone number (505) 468-4742.

The CLIA number assigned to this NPI record is 31D2193625 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 6/12/2015.

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		20C100	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	9046704	MEDICAID	NJ

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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