RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C.


Address: 699 Cross St, Lakewood, NJ 08701-4610
Phone: 7323709400

RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C. (NPI# 1053438002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053438002
Entity Type Organization
Organization Name RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C.
Practice Address 699 Cross St
Lakewood
NJ 08701-4610
Practice Telephone 7323709400
Enumeration Date 2007-03-23
Last Update Date 2020-08-22
Authorized Official Name MR. DAVID MILLER (MANAGER)
Authorized Official Telephone 7323709400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
4019N9 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8723303 05

Office Location

Street Address 699 CROSS ST
City LAKEWOOD
State NJ
Zip Code 08701-4610

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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