Aillise Community Home LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

AILLISE COMMUNITY HOME LLC

Practice address

5051 Route 42
Blackwood, NJ 08012-1779

Phone

(856) 885-0558

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Aillise BonhommeNPI 1073946976

Title

Ceo

Phone

(862) 252-1495

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Aillise B. Bonhomme, LPN

  • Registered Nurse
  • Linden, NJ
  • NPI 1073946976
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1093578312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GALLERIA DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080946343",
            "telephone_number": "862-251-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 ROUTE 42",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121779",
            "telephone_number": "856-885-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILLISE COMMUNITY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BONHOMME",
        "authorized_official_first_name": "AILLISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-252-1495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Lodging Provider in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.