493 BLACK OAK RIDGE ROAD, LLC (NPI# 1619362563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619362563 |
| Entity Type | Organization |
| Organization Name | 493 BLACK OAK RIDGE ROAD, LLC |
| Other Organization Name | CARE ONE AT WAYNE ASSISTED LIVING |
| Practice Address |
493 Black Oak Ridge Rd Wayne NJ 07470-6501 |
| Practice Telephone | 9736929500 |
| Mailing Telephone | 9736929500 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | ANDROSKY ALBERTO LUGO (EXECUTIVE VICE PRESIDENT & G.C.) |
| Authorized Official Telephone | 2012424006 |
| Authorized Official Credential | ESQ |
| Is Organization Subpart | Y |
| Parent Organization Name | 493 BLACK OAK RIDGE ROAD, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | VQXWIZ | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Care One at Wayne Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491540 | 493 Black Oak Ridge Road, LLC | Skilled Nursing Facility | 493 Black Oak Ridge Road, Wayne, NJ 07470 | 2005-07-15 |
| Street Address |
493 BLACK OAK RIDGE RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184830010 | Olutoyin Folake Adedeji | Physical Therapist | 493 Black Oak Ridge Rd, Wayne, NJ 07470-6501 | 2007-05-15 |
| 1811164791 | Christian Philip Dalagan Santos | Physical Therapist | 493 Black Oak Ridge Rd, Wayne, NJ 07470-6501 | 2008-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1346553823 | Emeritus Corporation | Assisted Living Facility | 1500 Vintage Hill Dr, Wayne, NE 68787-1254 | 2010-07-26 |
| 1003064338 | Arden Courts of Wayne Nj LLC | Assisted Living Facility | 800 Hamburg Tpke, Wayne, NJ 07470-2019 | 2008-08-28 |
| 1629280300 | Sunrise Wayne Assisted Living LLC | Assisted Living Facility | 184 Berdan Rd, Wayne, NJ 07470 | 2007-05-04 |
| 1326669243 | Fsl Wayne Ne Tenant LLC | Assisted Living Facility | 1500 Vintage Hill Dr, Wayne, NE 68787-1254 | 2020-05-01 |
| 1689038176 | 38 40 Freneau Avenue Operating Company LLC | Assisted Living Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1033570999 | 1000 3000 5000 Windrows Drive Operating Company LLC | Assisted Living Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-03-18 |
| 1740574284 | Lindahl Healthcare, Inc. | Assisted Living Facility | 811 E 14th St, Wayne, NE 68787-1216 | 2011-06-01 |
| 1891903175 | Brea Wayne, LLC | Assisted Living Facility | 820 Hamburg Tpke, Wayne, NJ 07470-2019 | 2007-05-18 |
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| 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 |
| 1386281061 | Homestead Senior Living, LLC | Assisted Living Facility | 2560 Kuser Rd, Hamilton, NJ 08691-3480 | 2019-12-02 |
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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.