Active NPI
Fve Ec LLC
Doing business as Washington Township Senior Living
- Assisted Living Facility
- Sewell, NJ
National Provider Identifier
1073644514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 8535701
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- FVE EC LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185744 | Medicaid | NJ |
Other names 1
- Washington Township Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2201545 | Washington Township Senior Living | Certificate of waiver | Oct 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Fve Ec LLC
- 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.
-
- Assisted Living Facility
- Voorhees, NJ
- NPI 1780827030
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.