38 40 FRENEAU AVENUE OPERATING COMPANY LLC (NPI# 1689038176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689038176 |
| Entity Type | Organization |
| Organization Name | 38 40 FRENEAU AVENUE OPERATING COMPANY LLC |
| Practice Address |
1120 Alps Rd Wayne NJ 07470-3704 |
| Mailing Address |
40 Freneau Ave Matawan NJ 07747-4500 |
| Practice Telephone | 9733398889 |
| Mailing Telephone | 7327655600 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | JULIET GOMEZ (DIRECTOR OF BUSINESS OFFICE SERVICE) |
| Authorized Official Telephone | 7327655600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 55A006 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0513156 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053775536 | 38 40 Freneau Avenue Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1851755342 | 38 40 Freneau Avenue Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| Street Address |
1120 ALPS RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538277272 | Kz Corporation | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2006-08-25 |
| 1750843546 | Wayne Snf Amop, LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2019-04-02 |
| 1629584453 | Tracie Kearns | Occupational Therapy Assistant | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2017-12-15 |
| 1043674526 | 1120 Alps Road Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1952765430 | 1000 3000 5000 Windrows Drive Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1417311994 | 120-124 Noyes Drive Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1053775536 | 38 40 Freneau Avenue Operating Company LLC | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-04-11 |
| 1851755342 | 38 40 Freneau Avenue Operating Company LLC | Skilled Nursing 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 |
| 1275770893 | Sayonara Ravelo | Physical Therapist | 1120 Alps Rd, Wayne, NJ 07424 | 2009-01-20 |
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|---|---|---|---|---|
| 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 |
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| 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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|---|---|---|---|---|
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| 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 |
| 1033570999 | 1000 3000 5000 Windrows Drive Operating Company LLC | Assisted Living Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2016-03-18 |
| 1619362563 | 493 Black Oak Ridge Road, LLC | Assisted Living Facility | 493 Black Oak Ridge Rd, Wayne, NJ 07470-6501 | 2015-03-30 |
| 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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| 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.