Organization Active NPI

Mira Vie at Manalapan Opco LLC

  • Assisted Living Facility
  • Manalapan, NJ
National Provider Identifier
1194573907
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIRA VIE AT MANALAPAN OPCO LLC
Practice address
445 Route 9
Manalapan, NJ 07726-9205
Phone
(732) 972-6200
Fax
(844) 808-0071
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Billie Abreu
Title
Director of Admin
Phone
(813) 330-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

445 Route 9
Manalapan, NJ 07726-9205

Mailing address

4301 Anchor Plaza Pkwy Ste 300
Tampa, FL 33634-7521
Phone (813) 330-2660

Other names 1

  • Mira Vie at Manalapan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1194573907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347521",
            "telephone_number": "813-330-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269205",
            "telephone_number": "732-972-6200",
            "fax_number": "844-808-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA VIE AT MANALAPAN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Vie at Manalapan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.