Stafford Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STAFFORD OPCO, LLC

Practice address

1275 Route 72 W
Manahawkin, NJ 08050-2473

Phone

(609) 597-2500

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Leo S Jacques

Title

Controller

Phone

(781) 619-9327

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1083360770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502473",
            "telephone_number": "609-597-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502473",
            "telephone_number": "609-597-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "781-619-9327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "65A002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stafford Convalescent Center, Inc
• Stafford Medical Associates LLC
• Stafford Medical P.a.
• Stafford Medical PA
• Stafford Medical, P.a.
• Stafford Orthopedics PA
• Stafford Pharmacy Inc
• Stafford Surgical Specialists, LLC
• Stafford Township Board of Education
• Stafford Township School District

• Assisted Living Facility in Manahawkin, NJ
• Providers in Manahawkin, 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 Feb 22, 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.