Organization Active NPI

Morningside Health Limited Liability Com

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fanwood, NJ
National Provider Identifier
1093287484
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MORNINGSIDE HEALTH LIMITED LIABILITY COM
Practice address
33 Laurel PL
Fanwood, NJ 07023-1314
Phone
(908) 654-3179
Fax
(908) 654-3179
NPI assigned
Dec 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Donald KanuNPI 1821857517
Title
Ceo
Phone
(973) 997-8859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Home Health Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278H0200X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

33 Laurel PL
Fanwood, NJ 07023-1314

Mailing address

33 Laurel PL
Fanwood, NJ 07023-1314
Phone (908) 654-3179

Other names 1

  • MORNINGSIDE HEALTH LIMITED LIABILITY COM Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1093287484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LAUREL PL",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231314",
            "telephone_number": "908-654-3179",
            "fax_number": "908-654-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LAUREL PL",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231314",
            "telephone_number": "908-654-3179",
            "fax_number": "908-654-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE HEALTH LIMITED LIABILITY COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-22",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "KANU",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-997-8859"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORNINGSIDE HEALTH LIMITED LIABILITY COM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MORNINGSIDE HEALTH LIMITED LIABILITY COM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.