Active NPI
Lineage Cadbury at Cherry Hill LLC
- Skilled Nursing Facility
- Cherry Hill, NJ
National Provider Identifier
1164102430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LINEAGE CADBURY AT CHERRY HILL LLC
- Practice address
- 2150 Route 38
Cherry Hill, NJ 08002-4302 - Phone
- (856) 667-4550
- NPI assigned
- Jul 21, 2023
- 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
- Sam Stern
- Title
- Cfo
- Phone
- (877) 567-0402
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2150 Route 38
Cherry Hill, NJ 08002-4302
Mailing address
14C 53Rd St Ste 220
Brooklyn, NY 11232-2644
Phone (877) 567-0402
Other names 1
- Premier Cadbury at Cherry Hill
National Provider Directory
National Provider Directory- Tax ID family
- Lineage Cadbury at Cherry Hill LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Cherry Hill, NJ
- NPI 1972284545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1164102430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST STE 220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"telephone_number": "877-567-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 ROUTE 38",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080024302",
"telephone_number": "856-667-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINEAGE CADBURY AT CHERRY HILL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "877-567-0402"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Cadbury at Cherry Hill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.