CHESTNUT HILL RESIDENCE NPI 1184889818

NPI Information

NPI: 1184889818
Provider Name: CHESTNUT HILL RESIDENCE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
338 CHESTNUT ST
PASSAIC, NJ
ZIP 07055
Phone: (973) 777-7800
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CHESTNUT HILL RESIDENCE is an assisted living facility in Passaic, 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. CHESTNUT HILL RESIDENCE NPI is 1184889818. The provider is registered as an organization entity type.

The provider's business location address is:

338 CHESTNUT ST
PASSAIC, NJ
ZIP 07055-158
Phone: (973) 777-7800
Fax: (973) 778-9013

The provider's authorized official is Roger S Requejo .
The authorized official title is Controller and has the following contact phone number (973) 777-7800.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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
1	310400000X	Assisted Living Facility		16A001	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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