Organization Active NPI

Saint Anne Villa Assisted Living

  • Assisted Living Facility
  • Florham Park, NJ
National Provider Identifier
1205975836
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
60A010 Issued in NJ
Legal business name
SAINT ANNE VILLA ASSISTED LIVING
Practice address
190 Park Ave
Florham Park, NJ 07932-1049
Phone
(973) 867-1502
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Marion Farrell, LNHA
Title
Administrator
Phone
(973) 867-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 60A010 NJ Primary

Addresses

Primary practice location

190 Park Ave
Florham Park, NJ 07932-1049

Mailing address

PO Box 476
Convent Station, NJ 07961-0476

Other identifiers 1

IdentifierTypeStateIssuer
0059811MedicaidNJ

National Provider Directory

National Provider Directory

Locations

190 Park Ave
Florham Park, NJ 07932
Phone (908) 754-3663

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1205975836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "CONVENT STATION",
            "state": "NJ",
            "postal_code": "079610476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-867-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANNE VILLA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-867-1502",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059811",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.