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THE RESIDENCE AT LAKERIDGE LLC NPI 1073694295


NPI Information

NPI: 1073694295
Provider Name: THE RESIDENCE AT LAKERIDGE LLC

Doing Business As: THE RESIDENCE AT TOMS RIVER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2145 WHITESVILLE ROAD
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 905-9222
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THE RESIDENCE AT LAKERIDGE LLC is an assisted living facility in Toms River, 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. THE RESIDENCE AT LAKERIDGE LLC NPI is 1073694295. The provider is registered as an organization entity type.
The provider Is Doing Business As The Residence At Toms River.

The provider's business location address is:

2145 WHITESVILLE ROAD
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 905-9222
Fax: (732) 905-9442

The provider's authorized official is Kristen Sabo .
The authorized official title is Executive Director and has the following contact phone number (732) 806-4301.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/12/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility65A113NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10066192MEDICAIDNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.