COLTS NECK VILLAGE NPI 1699815712

NPI Information

  • NPI: 1699815712
  • Provider Name: COLTS NECK VILLAGE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3 MERIDIAN WAY
    COLTS NECK, NJ
    ZIP 07722
  • Phone: (732) 303-3100

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NPI Details

COLTS NECK VILLAGE is an assisted living facility in Colts Neck, 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. COLTS NECK VILLAGE NPI is 1699815712. The provider is registered as an organization entity type.

The provider's business location address is:

3 MERIDIAN WAY
COLTS NECK, NJ
ZIP 07722-419
Phone: (732) 303-3100

The provider's authorized official is Phyllis A Deyo .
The authorized official title is Director Ltc Accounts and has the following contact phone number (732) 206-8003.

The enumeration date for this NPI number is 2/7/2007 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 Facility7EKKEKNEW 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
18748306MEDICAIDNEW 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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