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ATRIUM AT PARK RIDGE LLC NPI 1235539941


NPI Information

NPI: 1235539941
Provider Name: ATRIUM AT PARK RIDGE LLC

Doing Business As: ATRIUM SENIOR LIVING OF PARK RIDGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 31D2284877

Address:
124 NOYES DR
PARK RIDGE, NJ
ZIP 07656
Phone: (201) 782-0440
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ATRIUM AT PARK RIDGE LLC is an assisted living facility in Park Ridge, NJ. The provider is 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. ATRIUM AT PARK RIDGE LLC NPI is 1235539941. The provider is registered as an organization entity type.
The provider Is Doing Business As Atrium Senior Living Of Park Ridge.

The provider's business location address is:

124 NOYES DR
PARK RIDGE, NJ
ZIP 07656-294
Phone: (201) 782-0440
Fax: (201) 782-0899

The provider's authorized official is Melissa Linteau .
The authorized official title is Director Of Contract Management and has the following contact phone number (908) 686-3233.

The CLIA number assigned to this NPI record is 31D2284877 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 9/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility05A001NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10088625MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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