PARAGON VILLAGE, LLC. (NPI# 1740325877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740325877 |
| Entity Type | Organization |
| Organization Name | PARAGON VILLAGE, LLC. |
| Practice Address |
427 Us Highway 46 E Hackettstown NJ 07840-2683 |
| Practice Telephone | 9084980107 |
| Mailing Telephone | 9084980107 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KIMBERLY POLACHEK (EXECUTIVE DRIECTOR) |
| Authorized Official Telephone | 9084980102 |
| Authorized Official Credential | C.A.L.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | 60A008 | NJ | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | 60A008 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0029688 | 05 | |
| NJ | ALR | NJ60A008 | 01 |
| Street Address |
427 US HIGHWAY 46 E |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083828792 | Patricia Celani Orsini | Occupational Therapist | 427 Us Highway 46 E, Hackettstown, NJ 07840-2683 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| 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 |
|---|---|---|---|---|
| 1417353376 | Paragon Senior Living, LLC | Assisted Living Facility | 427 U.S. Highway Route 46, Hackettstown, NJ 07840 | 2014-11-05 |
| 1063409803 | The House of The Good Shepherd | Assisted Living Facility | 798 Willow Grove St, Hackettstown, NJ 07840-1718 | 2005-10-05 |
| 1730503947 | The House of The Good Shepherd | Assisted Living Facility | 798 Willow Grove St, Hackettstown, NJ 07840-1718 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1093324113 | Springpoint At Manalapan, Inc. | Assisted Living Facility | 4814 Outlook Dr, Wall Township, NJ 07753-6812 | 2020-07-24 |
| 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 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
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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.