SJV 1 W ORANGE OPCO LLC NPI 1538751458

NPI Information

  • NPI: 1538751458
  • Provider Name: SJV 1 W ORANGE OPCO LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • :
  • Address: 220 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 731-9840

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NPI Details

SJV 1 W ORANGE OPCO LLC is an assisted living facility in West Orange, 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. SJV 1 W ORANGE OPCO LLC NPI is 1538751458. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

220 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052-997
Phone: (973) 731-9840
Fax: (973) 731-9170

The provider's authorized official is Tony J. Harris .
The authorized official title is Senior Reimbursement Manager and has the following contact phone number (703) 854-0830.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 2/17/2025.

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 FacilityYes

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
10889041MEDICAIDNEW 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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