Hackensack Meridian Living at Holmdel, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HACKENSACK MERIDIAN LIVING AT HOLMDEL, LLC

Practice address

200 Commons Way
Holmdel, NJ 07733

Phone

(862) 682-4386

Fax

(732) 334-3000

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Steven Baker

Title

President

Phone

(862) 682-4386

Specialties & licenses 1

Addresses

Other names 1

• Villas of Holmdel Doing business as

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1073259602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "862-682-4386",
            "fax_number": "732-334-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "862-682-4386",
            "fax_number": "732-334-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN LIVING AT HOLMDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-682-4386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villas of Holmdel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth W Groman, DMD
• Daniel H. Grossman, D.C.
• Hackensack Meridian Ambulatory Care, Inc.
• Hackensack Meridian Ambulatory Care, Inc.
• Hackensack Meridian Ambulatory Care, Inc.
• Nicole Hadjiloucas
• David Handlin, MD
• Iftikhar Haq
• Harbor Wellness & Recovery Center
• Harry John Coniaris MD PC

• Assisted Living Facility in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.