RADHA ADULT DAYCARE LLC (NPI# 1790226017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790226017 |
Entity Type | Organization |
Organization Name | RADHA ADULT DAYCARE LLC |
Practice Address |
316 Black Horse Pike Glendora NJ 08029-1476 |
Mailing Address |
330 Black Horse Pike Unit B Glendora NJ 08029-1439 |
Practice Telephone | 8563136741 |
Practice Fax Number | 7329602360 |
Mailing Telephone | 8569310753 |
Mailing Fax Number | 7329602360 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-20 |
Authorized Official Name | MR. ROHIT PATEL (MANAGING MEMBER) |
Authorized Official Telephone | 8569067203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 04017 | NJ | Nursing & Custodial Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RADHA ADULT DAYCARE LLC | 316 Blackhorse Pike, Glendora, NJ 08029-1476 |
Street Address |
316 BLACK HORSE PIKE |
City | GLENDORA |
State | NJ |
Zip Code | 08029-1476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932273711 | Bruce Kerensky | Dentist | 120 E Evesham Road, Glendora, NJ 08029 | 2006-11-20 |
1700891694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 Black Horse Pike, Glendora, NJ 08029 | 2006-07-29 |
1295115996 | Aja Brianna Corchado | Specialist/Technologist | 104 Bozarth Ave, Glendora, NJ 08029-1241 | 2015-06-08 |
1841481918 | Gail Judith Hallof | Nurse Anesthetist, Certified Registered | 204 W Evesham Rd, Glendora, NJ 08029-1246 | 2007-08-05 |
1770731697 | Roderick Joseph Sandiego | Registered Nurse | 517 N Hildebrand Ave, Glendora, NJ 08029-1276 | 2008-09-04 |
1114530433 | Quanhao Fu | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2020-08-26 |
1558902635 | Zoya Kakar | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2019-10-01 |
1326315631 | Mona Patel | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-11-30 |
1598048761 | Ty Lam | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-09-23 |
1285917609 | Valerie Anne Mcguigan | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2011-09-21 |
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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] |
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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.