Organization Active NPI

Home for the Armenian Aged Inc

  • Skilled Nursing Facility
  • Emerson, NJ
National Provider Identifier
1275524746
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030202 Issued in NJ
Legal business name
HOME FOR THE ARMENIAN AGED INC
Practice address
70 Main St
Emerson, NJ 07630-1948
Phone
(201) 261-6662
Fax
(201) 261-5509
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Mr. Matthew Russo, LNHA
Title
Administrator
Phone
(201) 261-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030202 NJ Primary

Addresses

Primary practice location

70 Main St
Emerson, NJ 07630-1948

Mailing address

70 Main St
Emerson, NJ 07630-1948
Phone (201) 261-6662

Other identifiers 1

IdentifierTypeStateIssuer
4465105MedicaidNJ

Other names 1

  • DBA Armenian Nursing & Rehabilitation Center 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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1275524746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301948",
            "telephone_number": "201-261-6662",
            "fax_number": "201-261-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301948",
            "telephone_number": "201-261-6662",
            "fax_number": "201-261-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR THE ARMENIAN AGED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-261-6662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "030202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4465105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Armenian Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.