1621 ROUTE 22 WEST OPERATING COMPANY, LLC (NPI# 1336706340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336706340 |
| Entity Type | Organization |
| Organization Name | 1621 ROUTE 22 WEST OPERATING COMPANY, LLC |
| Practice Address |
1621 Route 22 West Bound Brook NJ 08805 |
| Practice Telephone | 7324692000 |
| Practice Fax Number | 7324698917 |
| Mailing Telephone | 7324692000 |
| Mailing Fax Number | 7324698917 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | ANDROVSKY ALBERTO LUGO (GENERAL COUNSEL/EXECUTIVE VICE PRES) |
| Authorized Official Telephone | 2012424006 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Care One at Somerset Valley Assisted Living | Doing Business As Name - Organization |
| Street Address |
1621 ROUTE 22 WEST |
| City | BOUND BROOK |
| State | NJ |
| Zip Code | 08805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548372618 | 1621 Route 22 West Operating, LLC | Skilled Nursing Facility | 1621 Route 22 West, Bound Brook, NJ 08805 | 2006-08-31 |
| 1124479498 | Anna Mazur | Occupational Therapist | 1621 Route 22 West, Bound Brook, NJ 08805-1248 | 2016-06-28 |
| 1407188766 | Ludovik Famorca | Physical Therapist | 1621 Route 22 West, Bound Brook, NJ 08805-1248 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141901 | Ngozi Asiegbulem | Licensed Practical Nurse | 411 C Lamonte Ave, Bound Brook, NJ 08805 | 2018-04-10 |
| 1083148670 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 933 West Meadow Drive, Bound Brook, NJ 08805 | 2017-04-20 |
| 1376930453 | Capitol Care Inc. | Day Training, Developmentally Disabled Services | 2121 Route 22 West, Bound Brook, NJ 08805 | 2015-04-16 |
| 1821343328 | Bound Brook Rescue Squad, Inc. | Ambulance | 56 Van Keuren Ave, Bound Brook, NJ 08805 | 2012-07-20 |
| 1144575739 | Jersey Irish Medical | Clinic/Center | 601 W. Union Ave., Bound Brook, NJ 08805 | 2012-07-19 |
| 1932228194 | American Institute for Counseling Inc | Clinic/Center | 1952 Route 22 East, Bound Brook, NJ 08805 | 2007-03-28 |
| 1699827253 | Renee T Foster | Chiropractor | 207 West Union Avenue, Bound Brook, NJ 08805 | 2007-01-16 |
| 1407911597 | Elizabeth Wong | Pediatrics | 55 W Union Ave, Bound Brook, NJ 08805 | 2006-12-27 |
| 1609949239 | Kevin Michael Enright | Counselor | 305 East High Street, Suite 5, Bound Brook, NJ 08805 | 2006-11-15 |
| 1457434904 | Jack Baharlias | Psychologist | 1952 Rt 22 E, American Institute for Counseling Inc, Bound Brook, NJ 08805 | 2006-10-20 |
| Find all providers in zip 08805 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1093324113 | Springpoint At Manalapan, Inc. | Assisted Living Facility | 4814 Outlook Dr, Wall Township, NJ 07753-6812 | 2020-07-24 |
| 1720696222 | Csh Mount Laurel Licensee, LLC | Assisted Living Facility | 785 Centerton Rd, Mount Laurel, NJ 08054-1607 | 2020-07-21 |
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1376176636 | Fsp-waldwick Property, LLC | Assisted Living Facility | 245 Wyckoff Ave, Waldwick, NJ 07463-1225 | 2020-02-14 |
| 1417589763 | Shp Vi Mountainside LLC | Assisted Living Facility | 1050 Springfield Ave, Mountainside, NJ 07092-2905 | 2020-02-05 |
| 1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
| 1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BOUND BROOK |
| Zip Code | 08805 |
Please comment or provide details below to improve the information on 1621 ROUTE 22 WEST OPERATING COMPANY, LLC.
| 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.