CA FANWOOD LLC (NPI# 1548387285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548387285 |
| Entity Type | Organization |
| Organization Name | CA FANWOOD LLC |
| Other Organization Name | THE CHELSEA AT FANWOOD |
| Practice Address |
295 South Ave Fanwood NJ 07023-1357 |
| Mailing Address |
33 Union Pl 2nd Floor Summit NJ 07901-3650 |
| Practice Telephone | 9086545200 |
| Practice Fax Number | 9087890451 |
| Mailing Telephone | 9085220808 |
| Mailing Fax Number | 9085225565 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEENA B SCHAFFER (CFO) |
| Authorized Official Telephone | 9085220808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 90A000 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7891903 | 05 |
| Other Name | Type Code |
|---|---|
| The Chelsea at Fanwood | Doing Business As Name - Organization |
| Street Address |
295 SOUTH AVE |
| City | FANWOOD |
| State | NJ |
| Zip Code | 07023-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851670426 | Fanwood Senior Care, LLC | Assisted Living Facility | 295 South Ave, Fanwood, NJ 07023-1357 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578910303 | Jessica Furino | Counselor | 141 South Avenue, Suite 103, Fanwood, NJ 07023 | 2016-05-23 |
| 1518392299 | Jaime Lauren | Social Worker | 141 South Ave Ste 7, Fanwood, NJ 07023 | 2013-09-12 |
| 1497998207 | Jennifer R Sullivan | Speech-Language Pathologist | 161 Herbert Ave, Fanwood, NJ 07023 | 2009-04-08 |
| 1265654800 | Laura A Jarmer | Physical Therapist | 313 South Avenue, Fanwood, NJ 07023 | 2007-05-03 |
| 1225259138 | Domenic Monaco | Dentist | 346 South Ave. Suite 7, Fanwood, NJ 07023 | 2007-05-01 |
| 1356866230 | Katheryne Wall | Occupational Therapist | 274 South Ave, Fanwood, NJ 07023 | 2017-08-11 |
| 1124334420 | Kimberly Jayne Lindland Crawford | Occupational Therapist | 313 South Ave, Fanwood, NJ 07023 | 2010-08-24 |
| 1619057122 | Lawrence Hernandez | Physical Therapist | 313 South Ave, Suite #205 Panther Pt and Sports Medicine, Fanwood, NJ 07023 | 2006-10-17 |
| 1346257508 | Joseph A Scalia | Family Medicine | 346 South Ave, Suite 6, Fanwood, NJ 07023 | 2006-08-01 |
| 1619349925 | Kendra Dickerson | Behavioral Analyst | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2015-10-26 |
| Find all providers in zip 07023 | ||||
| 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 |
|---|---|---|---|---|
| 1801249123 | Clifton Senior Living, LLC | Assisted Living Facility | 316 South Ave, Fanwood, NJ 07023-1325 | 2016-07-21 |
| 1851670426 | Fanwood Senior Care, LLC | Assisted Living Facility | 295 South Ave, Fanwood, NJ 07023-1357 | 2011-08-12 |
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|---|---|---|---|---|
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| 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 |
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| 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 | ||||
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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.