Active NPI
Morningside Health Limited Liability Com
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fanwood, NJ
National Provider Identifier
1093287484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Kanu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Contractor | 171W00000X | |||
| Home Health Certified Respiratory Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Fort Pierce, FL
- NPI 1821857517
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.