CPL (Bey Lea Village) LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061529 Issued in NJ

Legal business name

CPL (BEY LEA VILLAGE) LLC

Doing business as

Bey Lea Village Nursing and Rehabilitation Center

Practice address

1351 Old Freehold Road
Toms River, NJ 08753-2775

Phone

(732) 240-0090

Fax

(732) 244-8551

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

NEW JERSEY CPL HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Carole M Scillia

Title

LLC Manager

Phone

(203) 608-6100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bey Lea Village Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1275562043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 OLD FREEHOLD ROAD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532775",
            "telephone_number": "732-240-0090",
            "fax_number": "732-244-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPL (BEY LEA VILLAGE) LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY CPL HOLDINGS LLC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "65C000",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4494903",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079511",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bey Lea Village Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alissa M Cortez, PA-C
• Jaime Jo Costagliola, MSN, APN, CEN
• Francis H. Costello, DDS
• Counseling Center at Toms River LLC
• Rebecca A Cozza, OTR
• CPL Bey Lea LLC
• CR Medi Consult
• Brett R Crane Jr., MD
• Sandra Marie Crawford, MA CCC-SLP
• Jonathan Creadle

• Skilled Nursing Facility in Toms River, NJ
• Providers in Toms River, 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 Aug 15, 2011; 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.