Organization Active NPI

Fve Ec LLC

Doing business as Washington Township Senior Living

  • Assisted Living Facility
  • Sewell, NJ
National Provider Identifier
1073644514
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8535701 Issued in NJ
Legal business name
FVE EC LLC
Doing business as
Washington Township Senior Living
Practice address
600 Medical Center Dr
Sewell, NJ 08080-2361
Phone
(856) 582-8700
NPI assigned
Mar 8, 2007
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FVE EC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Katherine E. Potter
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8535701 NJ Primary

Addresses

Primary practice location

600 Medical Center Dr
Sewell, NJ 08080-2361

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other identifiers 1

IdentifierTypeStateIssuer
0185744MedicaidNJ

Other names 1

  • Washington Township Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2201545Washington Township Senior Living600 Medical Center Drive, Sewell, NJ 08080Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fve Ec LLC2 organizations share this tax ID, including this one
Part of
Fve Ec LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1073644514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL CENTER DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802361",
            "telephone_number": "856-582-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVE EC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FVE EC LLC",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "8535701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185744",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington Township Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.