BALD EAGLE SENIOR LIVING (NPI# 1124384904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124384904 |
| Entity Type | Organization |
| Organization Name | BALD EAGLE SENIOR LIVING |
| Other Organization Name | THE CHELSEA AT BALD EAGLE |
| Practice Address |
197 Cahill Cross Rd West Milford NJ 07480-1947 |
| Practice Telephone | 9737286000 |
| Practice Fax Number | 9736571657 |
| Mailing Telephone | 9737286000 |
| Mailing Fax Number | 9736571657 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | DEENA SCHAFFER (MEMBER) |
| Authorized Official Telephone | 9088894200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 70A000 | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Chelsea at Bald Eagle | Doing Business As Name - Organization |
| Street Address |
197 CAHILL CROSS RD |
| City | WEST MILFORD |
| State | NJ |
| Zip Code | 07480-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154454023 | Van Dyk At Bald Eagle Commons, LLC | Assisted Living Facility | 197 Cahill Cross Rd, West Milford, NJ 07480-1947 | 2007-03-13 |
| 1740672690 | Martin Thyvalappil | Pharmacist | 197 Cahill Cross Rd, 316, West Milford, NJ 07480-1947 | 2015-03-02 |
| 1235552803 | Alison Gerlitz | Occupational Therapy Assistant | 197 Cahill Cross Rd, West Milford, NJ 07480-1947 | 2014-02-01 |
| 1528404522 | Jennifer Melissa Bunkers | Occupational Therapist | 197 Cahill Cross Rd, West Milford, NJ 07480-1947 | 2013-05-16 |
| 1871783951 | Brenda Lee Mahon | Occupational Therapist | 197 Cahill Cross Rd, West Milford, NJ 07480-1947 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649711276 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 213 La Rue Road, West Milford, NJ 07480 | 2017-03-15 |
| 1861872897 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Bissett Drive, West Milford, NJ 07480 | 2015-06-04 |
| 1447549175 | Janice Claire Darien | Massage Therapist | 1614-0 Union Valley Rd., Sutie #131, West Miford, NJ 07480 | 2011-04-04 |
| 1063642478 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1502 Union Valley Rd, West Milford, NJ 07480 | 2009-07-20 |
| 1467670638 | Paul Anthony Babitz | Chiropractor | 2024 Macopin Rd Ste E, West Milford, NJ 07480 | 2007-04-23 |
| 1528100906 | Patricia J Clune | Social Worker | 78 Tintle Ave, West Milford, NJ 07480 | 2007-02-13 |
| 1376625046 | Chester Mark Golembiewski | Chiropractor | 996 Union Valley Rd., West Milford, NJ 07480 | 2006-10-20 |
| 1205926698 | West Milford Wellness Center P.C. | Chiropractor | 1616 Union Valley Road, Suite 102 A, West Milford, NJ 07480 | 2006-10-13 |
| 1255469904 | Timothy E Simpson | Internal Medicine | 920 Main Street, Hackensack, NJ 07480 | 2007-03-02 |
| 1306182936 | Arielle Parsons | Speech-Language Pathologist | 27 Monmouth Ave, West Milford, NJ 07480-1144 | 2013-01-01 |
| Find all providers in zip 07480 | ||||
| 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 |
|---|---|---|---|---|
| 1154454023 | Van Dyk At Bald Eagle Commons, LLC | Assisted Living Facility | 197 Cahill Cross Rd, West Milford, NJ 07480-1947 | 2007-03-13 |
| 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 | WEST MILFORD |
| Zip Code | 07480 |
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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.