EB CARE AT ENGLEWOOD, LLC (NPI# 1346895950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346895950 |
Entity Type | Organization |
Organization Name | EB CARE AT ENGLEWOOD, LLC |
Practice Address |
412 South Van Brunt Street Englewood NJ 07631 |
Practice Telephone | 5517756100 |
Practice Fax Number | 5517756124 |
Mailing Telephone | 5517756100 |
Mailing Fax Number | 5517756124 |
Enumeration Date | 2019-08-09 |
Last Update Date | 2019-08-09 |
Authorized Official Name | MR. STEVEN KRIEGER (MEMBER) |
Authorized Official Telephone | 5164741200 |
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 |
---|---|
The Bristal at Englewood | Doing Business As Name - Organization |
Street Address |
412 SOUTH VAN BRUNT STREET |
City | ENGLEWOOD |
State | NJ |
Zip Code | 07631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
1184163321 | Ares Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 177 N Dean Street, Suite 303, Englewood, NJ 07631 | 2017-02-21 |
Find all providers in zip 07631 |
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 |
---|---|---|---|---|
1265052500 | A1 Restorative Care | Assisted Living Facility | 4050 S Fox St, Englewood, CO 80110-4563 | 2020-04-16 |
1194244954 | Actors Fund of America | Assisted Living Facility | 155-175 West Hudson Avenue, Englewood, NJ 07631-1609 | 2017-09-13 |
1508130956 | Millbrook Homes LLC | Assisted Living Facility | 5809 S Kenton Way, Englewood, CO 80111-3950 | 2012-03-02 |
1093959777 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 350 Union Road, Englewood, OH 45322-2196 | 2009-04-27 |
1306031844 | Karrington of Englewood Ltd | Assisted Living Facility | 95 W Wenger Rd, Englewood, OH 45322-2723 | 2007-09-07 |
1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
1174658090 | Englewood Senior Living, LLC | Assisted Living Facility | 9350 E Caley Ave, Englewood, CO 80111-5364 | 2007-02-22 |
1659456911 | Actors Fund of America | Assisted Living Facility | 155 175 W Hudson Avenue, Englewood, NJ 07631-1609 | 2006-10-26 |
1194813915 | American Housing Foundation 1 | Assisted Living Facility | 3426 S Marion St, Englewood, CO 80113-2920 | 2006-10-10 |
1396722567 | Englewood Adult Care Home, Inc. | Assisted Living Facility | 280 Pine St, Englewood, FL 34223-3948 | 2005-12-28 |
Find all providers in ENGLEWOOD |
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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.