CSH MOUNT LAUREL LICENSEE, LLC


Address: 785 Centerton Rd, Mount Laurel, NJ 08054-1607
Phone: 8563673006

CSH MOUNT LAUREL LICENSEE, LLC (NPI# 1720696222) 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) 1720696222
Entity Type Organization
Organization Name CSH MOUNT LAUREL LICENSEE, LLC
Practice Address 785 Centerton Rd
Mount Laurel
NJ 08054-1607
Practice Telephone 8563673006
Mailing Telephone 8563673006
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Authorized Official Name MS. JACKIE FIX (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8563673006
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Arbor Terrace Mount Laurel Doing Business As Name - Organization

Office Location

Street Address 785 CENTERTON RD
City MOUNT LAUREL
State NJ
Zip Code 08054-1607

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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407011695 Sunrise/hov, Lp Assisted Living Facility 400 Fern Brook Ln, Mount Laurel, NJ 08054-9542 2008-07-28

Providers in the same taxonomy and state

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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
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
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1710524087 Engel Burman At Wayne, LLC Assisted Living Facility 1440 Hamburg Turnpike, Wayne, NJ 07470 2019-12-05
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Competitor

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City MOUNT LAUREL
Zip Code 08054

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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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