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MASONIC CHARITY FOUNDATION OF NEW JERSEY NPI 1124212840


NPI Information

NPI: 1124212840
Provider Name: MASONIC CHARITY FOUNDATION OF NEW JERSEY

Doing Business As: ACACIA HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
902 JACKSONVILLE RD
BURLINGTON, NJ
ZIP 08016
Phone: (609) 589-4444
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MASONIC CHARITY FOUNDATION OF NEW JERSEY is a hospice care community based in Burlington, NJ. MASONIC CHARITY FOUNDATION OF NEW JERSEY NPI is 1124212840. The provider is registered as an organization entity type.
The provider Is Doing Business As Acacia Hospice.

The provider's business location address is:

902 JACKSONVILLE RD
BURLINGTON, NJ
ZIP 08016-814
Phone: (609) 589-4444
Fax: (609) 589-4034

The provider's authorized official is Anda Durso .
The authorized official title is Executive Director and has the following contact phone number (609) 850-1089.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 11/1/2023.


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
1251G00000XHospice Care, Community Based24104NEW 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
10157287MEDICAIDNEW 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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