CENTRASTATE ASSISTED LIVING INC. NPI 1538140975

NPI Information

  • NPI: 1538140975
  • Provider Name: CENTRASTATE ASSISTED LIVING, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: MONMOUTH CROSSING
  • CLIA Number: 31D2198192
  • Address: 560 IRON BRIDGE RD
    FREEHOLD, NJ
    ZIP 07728
  • Phone: (732) 303-8600

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NPI Details

CENTRASTATE ASSISTED LIVING, INC. is an assisted living facility in Freehold, 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. CENTRASTATE ASSISTED LIVING, INC. NPI is 1538140975. The provider is registered as an organization entity type.
The provider Is Doing Business As Monmouth Crossing.

The provider's business location address is:

560 IRON BRIDGE RD
FREEHOLD, NJ
ZIP 07728-977
Phone: (732) 303-8600
Fax: (732) 303-8683

The provider's authorized official is Mary Ginn .
The authorized official title is Asst Administrator and has the following contact phone number (732) 303-8600.

The CLIA number assigned to this NPI record is 31D2198192 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 8/22/2020.

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
1310400000XAssisted Living Facility55A005NEW 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
18320705MEDICAIDNEW 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: 11/21/2025

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