Organization Active NPI

SHP VI Morris Plains LLC

  • Assisted Living Facility
  • Morris Plains, NJ
National Provider Identifier
1013549369
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHP VI MORRIS PLAINS LLC
Practice address
361 Speedwell Ave
Morris Plains, NJ 07950-2136
Phone
(973) 718-3636
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Robeson
Title
VP
Phone
(404) 704-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

361 Speedwell Ave
Morris Plains, NJ 07950-2136

Mailing address

C/O Pgim Real Estate
7 Giralda Farms
Madison, NJ 07940

National Provider Directory

National Provider Directory

Locations

7 Giralda Farms
Madison, NJ 07940

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1013549369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O PGIM REAL ESTATE",
            "address_2": "7 GIRALDA FARMS",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502136",
            "telephone_number": "973-718-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP VI MORRIS PLAINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ROBESON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "404-704-3789"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.