Bald Eagle Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

70A000 Issued in NJ

Legal business name

BALD EAGLE SENIOR LIVING

Doing business as

The Chelsea at Bald Eagle

Practice address

197 Cahill Cross Rd
West Milford, NJ 07480-1947

Phone

(973) 728-6000

Fax

(973) 657-1657

NPI assigned

Apr 6, 2012

Last updated

Apr 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deena Schaffer

Title

Member

Phone

(908) 889-4200

Specialties & licenses 1

Addresses

Other names 1

• The Chelsea at Bald Eagle Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1124384904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CAHILL CROSS RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801947",
            "telephone_number": "973-728-6000",
            "fax_number": "973-657-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CAHILL CROSS RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801947",
            "telephone_number": "973-728-6000",
            "fax_number": "973-657-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALD EAGLE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-889-4200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "70A000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chelsea at Bald Eagle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfa Development Inc.
• Allen S. Kirk
• John Atlas, DDS
• Paul Anthony Babitz, D.C., APN
• Caroline Bailey, CADC, CPRS
• Jamie Barrett
• Jean Blancato
• Dana Bluze, BCBA
• James Bono, M.A., LAC
• Brandi Marie Borke

• Assisted Living Facility in West Milford, NJ
• Providers in West Milford, 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 Apr 6, 2012; 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.

Verify at the official NPI Registry.