TERRACES AT SEACREST VILLAGE LLC


Address: 281 Mathistown Road, Little Egg Harbor Township, NJ 08087
Phone: 6098574141

TERRACES AT SEACREST VILLAGE LLC (NPI# 1093159253) 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) 1093159253
Entity Type Organization
Organization Name TERRACES AT SEACREST VILLAGE LLC
Practice Address 281 Mathistown Road
Little Egg Harbor Township
NJ 08087
Mailing Address 1001 Center St
Little Egg Harbor Twp
NJ 08087-1347
Practice Telephone 6098574141
Mailing Telephone 6092969292
Mailing Fax Number 6092960508
Enumeration Date 2013-04-18
Last Update Date 2014-03-19
Authorized Official Name MR. BRIAN HOLLOWAY JR. (VICE PRESIDENT)
Authorized Official Telephone 6092969292
Authorized Official Credential LNHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 281 MATHISTOWN ROAD
City LITTLE EGG HARBOR TOWNSHIP
State NJ
Zip Code 08087

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932610300 Acme Markets Inc Durable Medical Equipment & Medical Supplies 425 Us 9, Tuckerton, NJ 08087 2017-10-12
1679083877 Tiffany Wild Speech-Language Pathologist 324 Frog Pond Rd, Little Egg Harbor Township, NJ 08087 2017-10-03
1124570098 Dana Nicole Luciano Physician Assistant 798 County Road #539, #3, Little Egg Harbor Township, NJ 08087 2016-10-26
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1023390762 Gerri Hoegler Counselor 1064 S. Main St. Unit 206, West Creek, NJ 08087 2011-09-19
1437366572 Walgreens Pharmacy Pharmacy 201 Mathistown Road, Little Egg Harbor, NJ 08087 2007-05-17
1669599957 Paul Damian Lauria Chiropractor 871 Radio Rd, Little Egg Harbor, NJ 08087 2007-03-23
1528196276 Walgreen Co Durable Medical Equipment & Medical Supplies 201 Mathistown Rd, Little Egg Harbor Twp, NJ 08087 2007-03-02
1083752216 Mystic Pharmacy Inc Pharmacy 972 Radio Rd, Little Egg Harbor, NJ 08087 2007-02-01
1326134263 Ronald P Petrosky Dentist 210 Great Bay Blvd, Tuckerton, NJ 08087 2006-10-05
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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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City LITTLE EGG HARBOR TOWNSHIP
Zip Code 08087

Improve Information

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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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