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BRISTOL GLEN INC. NPI 1295122075


NPI Information

NPI: 1295122075
Provider Name: BRISTOL GLEN, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 31D0986621

Address:
200 BRISTOL GLEN DRIVE
NEWTON, NJ
ZIP 07860
Phone: (973) 300-5788
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BRISTOL GLEN, INC. is an assisted living facility in Newton, 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. BRISTOL GLEN, INC. NPI is 1295122075. The provider is registered as an organization entity type.

The provider's business location address is:

200 BRISTOL GLEN DRIVE
NEWTON, NJ
ZIP 07860
Phone: (973) 300-5788

The provider's authorized official is Robert Peterson .
The authorized official title is Chief Financial Officer and has the following contact phone number (732) 922-2980.

The CLIA number assigned to this NPI record is 31D0986621 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 10/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility85A001NEW 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
14504003MEDICAIDNEW 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.