Andover Intermediate Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ANDOVER INTERMEDIATE CARE CENTER

Practice address

99 Mulford Road
Lafayette, NJ 07848-1279

Phone

(973) 383-6200

Fax

(973) 383-0359

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By 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

Mrs. Carla Turco Kipiani

Title

President-Owner

Phone

(201) 460-8904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1134387533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078211279",
            "telephone_number": "973-383-6200",
            "fax_number": "973-383-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MULFORD ROAD",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078481279",
            "telephone_number": "973-383-6200",
            "fax_number": "973-383-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER INTERMEDIATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "KIPIANI",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "TURCO",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "201-460-8904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Cecilia Alai
• Donald Thomas Alosio Jr., D.C.
• Andover Nursing & Convalescent Home
• Andover Rehab Center Services Two Inc
• Andover Subacute & Rehab Center Services One Inc
• Andover Subacute & Rehab Center Services One Inc
• Andover Subacute and Rehab Center Services T Wo Inc

• Skilled Nursing Facility in Lafayette, NJ
• Providers in Lafayette, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.