WG TINTON FALLS SH LLC NPI 1659597094

NPI Information

  • NPI: 1659597094
  • Provider Name: WG TINTON FALLS SH, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ATRIA TINTON FALLS
  • CLIA Number: 31D2118287
  • Address: 44 PINE STREET
    TINTON FALLS, NJ
    ZIP 07753
  • Phone: (732) 918-1960

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NPI Details

WG TINTON FALLS SH, LLC is an assisted living facility in Tinton Falls, 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. WG TINTON FALLS SH, LLC NPI is 1659597094. The provider is registered as an organization entity type.
The provider Is Doing Business As Atria Tinton Falls.

The provider's business location address is:

44 PINE STREET
TINTON FALLS, NJ
ZIP 07753
Phone: (732) 918-1960
Fax: (732) 918-1952

The provider's authorized official is Tyler Whitty .
The authorized official title is General Council & Secretary and has the following contact phone number (502) 779-7665.

The CLIA number assigned to this NPI record is 31D2118287 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/19/2024.

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
1251J00000XNursing Care55A004NEW JERSEYNo
2310400000XAssisted 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
17721013MEDICAIDNEW 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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