Village Drive Healthcare Urban Renewal LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VILLAGE DRIVE HEALTHCARE URBAN RENEWAL LLC

Practice address

1125 Village Dr
Millville, NJ 08332-1581

Phone

(732) 403-3151

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Drew Barile

Title

Ceo

Phone

(732) 403-3151

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1144714080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 VILLAGE DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321513",
            "telephone_number": "856-469-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 VILLAGE DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321581",
            "telephone_number": "732-403-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DRIVE HEALTHCARE URBAN RENEWAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-403-3151"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Millville, NJ
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.