Essex Residential Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ESSEX RESIDENTIAL CARE, LLC

Doing business as

Hackensack Meridian Health West Caldwell Care Center

Practice address

165 Fairfield Ave
West Caldwell, NJ 07006-6414

Phone

(973) 226-1100

Fax

(973) 226-5993

NPI assigned

Nov 1, 2018

Last updated

Jun 27, 2019By 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

Mr. Joseph M Lemaire

Title

President Diversified Ventures

Phone

(732) 751-7520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hackensack Meridian Health West Caldwell Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hackensack Meridian Ambulatory Care, Inc

  dba JFK Advanced Medical Imaging of Old Bridge

  • Radiology Clinic/Center
  • Old Bridge, NJ
  • NPI 1861848350

  Member Of

  NPD member

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1245707850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-226-1100",
            "fax_number": "973-226-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-226-1100",
            "fax_number": "973-226-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "LEMAIRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT  DIVERSIFIED VENTURES",
        "authorized_official_telephone_number": "732-751-7520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "315247",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Health West Caldwell Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Behavioral Group, LLC
• Randi W. Elkin, NBC-HWC
• Erichsen Family Chiropractic & Wellness Center PA
• Essex Eye Physicians LLC
• Essex Regional Educational Services Commission
• Essex Therapy, LLC
• Ethan and the Bean a New Jersey Non Profit Corporation
• Dawn Fasano-Hicks, COTA
• Bassel Fattal, PHARMD
• Lesley A Fein, MD

• Skilled Nursing Facility in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.