SHI-III WASHINGTON TOWNSHIP LLC


Address: 339 Greentree Road, Washington Township, NJ 08080
Phone: 8565536694

SHI-III WASHINGTON TOWNSHIP LLC (NPI# 1477018752) 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) 1477018752
Entity Type Organization
Organization Name SHI-III WASHINGTON TOWNSHIP LLC
Practice Address 339 Greentree Road
Washington Township
NJ 08080
Mailing Address 100 Jericho Quadrangle Ste 142
Jericho
NY 11753-2702
Practice Telephone 8565536694
Mailing Telephone 5164961505
Mailing Fax Number 5164961509
Enumeration Date 2019-01-31
Last Update Date 2020-08-04
Authorized Official Name MR. RAYMOND DIOGUARDI (COO/CFO)
Authorized Official Telephone 5164961505
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
All American Assisted Living at Washington Township Doing Business As Name - Organization

Office Location

Street Address 339 GREENTREE ROAD
City WASHINGTON TOWNSHIP
State NJ
Zip Code 08080

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NPI Name Taxonomy Address Enumeration
1679180301 Peter Ansong Pharmacist 500 Egg Harbor Road, Sewell, NJ 08080 2020-09-27
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1851802029 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 275 Greentree Road, Sewell, NJ 08080 2017-10-16
1598284770 Bryan Hendricks Psychologist 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 2017-09-19
1912426339 Mary Faralli Speech-Language Pathologist 24 Upton Way, Sewell, NJ 08080 2017-09-18
1669990578 Oaks Integrated Care Clinic/Center 322 Fishpond Rd, Sewell, NJ 08080 2017-08-31
1972032316 Nutan K Ravani Social Worker 3 Heritage Valley Drive, Sewell, NJ 08080 2017-06-08
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1609315720 Kirill Levin Physician Assistant 570 Egg Harbor Rd Ste B1, Sewell, NJ 08080 2017-02-22
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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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1366073140 Sjf Ccrc, Inc Assisted Living Facility 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 2020-01-30
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Competitor

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City WASHINGTON TOWNSHIP
Zip Code 08080

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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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