JUNIPER VILLAGE AT CHATHAM, LLC (NPI# 1376661256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376661256 |
| Entity Type | Organization |
| Organization Name | JUNIPER VILLAGE AT CHATHAM, LLC |
| Other Organization Name | JUNIPER VILLAGE AT CHATHAM |
| Practice Address |
500 Southern Blvd Chatham NJ 07928-1407 |
| Practice Telephone | 9739665483 |
| Practice Fax Number | 9739660119 |
| Mailing Telephone | 9739665483 |
| Mailing Fax Number | 9739660119 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | LINDA C. DONATO (SECRETARY) |
| Authorized Official Telephone | 9739453526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 60A006 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0004235 | 05 |
| Other Name | Type Code |
|---|---|
| Juniper Village at Chatham | Doing Business As Name - Organization |
| Street Address |
500 SOUTHERN BLVD |
| City | CHATHAM |
| State | NJ |
| Zip Code | 07928-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225085558 | Lynda J. Carpenito | Nurse Practitioner | 500 Southern Blvd, Chatham, NJ 07928 | 2006-05-30 |
| 1295387579 | Jillian Elizabeth Smith | Speech-Language Pathologist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2019-07-16 |
| 1235652868 | Julie Costa | Speech-Language Pathologist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2017-07-25 |
| 1265962625 | Catherine M Curtis | Speech-Language Pathologist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2017-06-18 |
| 1245768605 | Kristian Lynne Wendel | Physical Therapist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2017-05-30 |
| 1437552619 | Mindy Greig | Physical Therapy Assistant | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2014-10-02 |
| 1396011896 | Lyndsay Kathleen Mccusker | Occupational Therapist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2012-03-28 |
| 1306864285 | Andy Skara | Physical Therapist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2006-07-18 |
| 1235169756 | Nerizza Nicol Del Valle | Physical Therapist | 500 Southern Blvd, Chatham, NJ 07928-1407 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410574 | Deborah Conway | Counselor | 10 Fairmount Ave., Chatham, NJ 07928 | 2019-04-24 |
| 1023537438 | Claire Elizabeth Shimchak | Specialist/Technologist | 188 Watchung Ave, Chatham, NJ 07928 | 2017-09-18 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1558769414 | Chatham Hills Subacute Care Center LLC | Skilled Nursing Facility | 17 Heathcliff Road, Chatham, NJ 07928 | 2014-12-09 |
| 1841509940 | Dimitry Polyakov | Physical Therapist | 13 Watchung Ave, Total Physical Therapy, Chatham, NJ 07928 | 2010-10-07 |
| 1851533731 | Robert Richard Springer | Internal Medicine | 18 Birch Hill Drive, Chatham, NJ 07928 | 2009-03-24 |
| 1104071208 | Robert M. Freda | Internal Medicine | 96 Meyersville Road, Chatham, NJ 07928 | 2008-11-18 |
| 1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
| 1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
| 1336269141 | Maryanne Carbone | Social Worker | 100 Noe Ave, Chatham, NJ 07928 | 2007-03-29 |
| Find all providers in zip 07928 | ||||
| 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] |
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| 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 |
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| 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 |
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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.