Organization Active NPI

Shrewsbury Health Adult Daycare

Doing business as Shrewsbury adult daycare

  • Adult Day Care Clinic/Center
  • Belleville, NJ
National Provider Identifier
1275017816
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SHREWSBURY HEALTH ADULT DAYCARE
Doing business as
Shrewsbury adult daycare
Practice address
114 Washington Ave
Belleville, NJ 07109-2926
Phone
(973) 336-4968
NPI assigned
Sep 19, 2018
Last updated
Dec 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Authorized official

Name
Mario MillanNPI 1851871370
Title
Ower
Phone
(973) 336-4968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

114 Washington Ave
Belleville, NJ 07109-2926

Mailing address

114 Washington Ave
Belleville, NJ 07109-2926
Phone (973) 336-4968

Other names 2

  • Shrewsbury adult daycare Doing business as
  • Shrewsbury health adult daycera Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1275017816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092926",
            "telephone_number": "973-336-4968",
            "fax_number": "973-302-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092926",
            "telephone_number": "973-336-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREWSBURY HEALTH ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "973-336-4968"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shrewsbury adult daycare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shrewsbury health adult daycera",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.