Organization Active NPI

CPL (Meadow View) LLC

  • Skilled Nursing Facility
  • Williamstown, NJ
National Provider Identifier
1295764082
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060808 Issued in NJ
Legal business name
CPL (MEADOW VIEW) LLC
Practice address
1420 South Black Horse Pike
Williamstown, NJ 08094-9130
Phone
(856) 875-0100
Fax
(856) 629-4619
NPI assigned
Jul 2, 2006
Organization subpart
Yes
Parent organization
NEW JERSEY CPL HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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) 608-6134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060808 NJ Primary

Addresses

Primary practice location

1420 South Black Horse Pike
Williamstown, NJ 08094-9130

Mailing address

538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100

Other identifiers 2

IdentifierTypeStateIssuer
4478002MedicaidNJ
4478606MedicaidNJ

Other names 1

  • Meadow View Nursing & Respiratory Care 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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1295764082",
    "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": "1420 SOUTH BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949130",
            "telephone_number": "856-875-0100",
            "fax_number": "856-629-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPL (MEADOW VIEW) LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY CPL HOLDINGS LLC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-07-24",
        "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": "203-608-6134"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow View Nursing & Respiratory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.