Actors Fund of America

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

05C000 Issued in NJ

Legal business name

ACTORS FUND OF AMERICA

Practice address

155-175 West Hudson Avenue
Englewood, NJ 07631-1609

Phone

(201) 871-8882

Fax

(201) 871-9511

NPI assigned

Sep 13, 2017

Last updated

Jul 21, 2022By 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

Jordan Strohl

Title

Administrator

Phone

(201) 871-8882

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194244954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155-175 WEST HUDSON AVENUE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311609",
            "telephone_number": "201-871-8882",
            "fax_number": "201-871-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155-175 WEST HUDSON AVENUE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311609",
            "telephone_number": "201-871-8882",
            "fax_number": "201-871-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTORS FUND OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STROHL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-871-8882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "05C000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4465211",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Englewood, NJ
• Providers in Englewood, 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 Jul 21, 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.