CORDILLERA PROFESSIONALS LLC NPI 1225773211

NPI Information

NPI: 1225773211
Provider Name: CORDILLERA PROFESSIONALS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
403 CLAREMONT AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 615-8042
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CORDILLERA PROFESSIONALS LLC is an assisted living facility in Montclair, 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. CORDILLERA PROFESSIONALS LLC NPI is 1225773211. The provider is registered as an organization entity type.

The provider's business location address is:

403 CLAREMONT AVE
MONTCLAIR, NJ
ZIP 07042-801
Phone: (973) 615-8042

The provider's authorized official is Mariah Woolridge .
The authorized official title is Manager and has the following contact phone number (973) 615-8042.

The enumeration date for this NPI number is 5/3/2022 and was last updated on 5/5/2022.

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	311ZA0620X	Custodial Care Facility	Adult Care Home			No
2	310400000X	Assisted Living Facility				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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