Active NPI
Long Life Adult Day Care, LLC
- Adult Day Care Clinic/Center
- Cliffside Park, NJ
National Provider Identifier
1144429184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 058100
- Legal business name
- LONG LIFE ADULT DAY CARE, LLC
- Practice address
- 596 Anderson Ave
Suite 110
Cliffside Park, NJ 07010-1831 - Phone
- (201) 943-7111
- Fax
- (201) 943-8859
- NPI assigned
- Jul 11, 2007
- 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
- Mrs. Ella Efman
- Title
- Administrator
- Phone
- (201) 943-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 058100 | NJ | Primary |
Addresses
Primary practice location
596 Anderson Ave
Suite 110
Cliffside Park, NJ 07010-1831
Mailing address
596 Anderson Ave
Suite 110
Cliffside Park, NJ 07010-1831
Phone (201) 943-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8117900 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1144429184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 ANDERSON AVE",
"address_2": "SUITE 110",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101831",
"telephone_number": "201-943-7111",
"fax_number": "201-943-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 ANDERSON AVE",
"address_2": "SUITE 110",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101831",
"telephone_number": "201-943-7111",
"fax_number": "201-943-8859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG LIFE ADULT DAY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "EFMAN",
"authorized_official_first_name": "ELLA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-943-7111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NJ",
"license": "058100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8117900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.