Active NPI
3000 Hilltop Road Operations LLC
- Adult Day Care Clinic/Center
- Whiting, NJ
National Provider Identifier
1295201226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- 3000 HILLTOP ROAD OPERATIONS LLC
- Practice address
- 3000 Hilltop Rd
Whiting, NJ 08759-1349 - Phone
- (732) 849-4400
- Fax
- (732) 849-4401
- NPI assigned
- Oct 17, 2018
- Organization subpart
- Yes
- Parent organization
- SUMMIT CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Theodore Berg
- Title
- Officer
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3000 Hilltop Rd
Whiting, NJ 08759-1349
Mailing address
3000 Hilltop Rd
Whiting, NJ 08759-1349
Phone (732) 849-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0540145 | Medicaid | NJ |
Other names 1
- WHITING HEALTHCARE CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1295201226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HILLTOP RD",
"city": "WHITING",
"state": "NJ",
"postal_code": "087591349",
"telephone_number": "732-849-4400",
"fax_number": "732-849-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HILLTOP RD",
"city": "WHITING",
"state": "NJ",
"postal_code": "087591349",
"telephone_number": "732-849-4400",
"fax_number": "732-849-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3000 HILLTOP ROAD OPERATIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT CARE LLC",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THEODORE",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "505-468-4742"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0540145",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WHITING HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WHITING HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whiting, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.