ASSISTED LIVING OF VINELAND INC. NPI 1780734954

NPI Information

  • NPI: 1780734954
  • Provider Name: ASSISTED LIVING OF VINELAND, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SPRING OAK ASSISTED LIVING AT VINELAND
  • CLIA Number: 31D2210298
  • Address: 1503 S MAIN ST
    PHILLIPSBURG, NJ
    ZIP 08865
  • Phone: (908) 859-8500

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NPI Details

ASSISTED LIVING OF VINELAND, INC. is an assisted living facility in Phillipsburg, 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. ASSISTED LIVING OF VINELAND, INC. NPI is 1780734954. The provider is registered as an organization entity type.
The provider Is Doing Business As Spring Oak Assisted Living At Vineland.

The provider's business location address is:

1503 S MAIN ST
PHILLIPSBURG, NJ
ZIP 08865-736
Phone: (908) 859-8500
Fax: (908) 859-5151

The provider's authorized official is Gail Rader .
The authorized official title is Management Agent and has the following contact phone number (908) 859-8500.

The CLIA number assigned to this NPI record is 31D2210298 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 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 Facility25A002NEW 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
18131317MEDICAIDNEW 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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