At Liberty Place LLC,

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

AT LIBERTY PLACE LLC,

Practice address

1655 Swedesboro Ave
Paulsboro, NJ 08066-1533

Phone

(856) 294-7979

Fax

(856) 599-1379

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Remenda Reneake Charles

Title

Cheif of Exceutive

Phone

(856) 294-7979

Specialties & licenses 4

Addresses

Tax ID family

At Liberty Place LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• At Liberty Place LLC,

  • Adult Care Home Facility
  • Paulsboro, NJ
  • NPI 1447067186
  NPD tax ID

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.

• Remenda M Charles

  • Adult Companion
  • Paulsboro, NJ
  • NPI 1689436313
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1316754088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SWEDESBORO AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661533",
            "telephone_number": "856-294-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SWEDESBORO AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661533",
            "telephone_number": "856-294-7979",
            "fax_number": "856-599-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT LIBERTY PLACE LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "REMENDA",
        "authorized_official_middle_name": "RENEAKE",
        "authorized_official_title_or_position": "CHEIF OF EXCEUTIVE",
        "authorized_official_telephone_number": "856-294-7979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advoserv of New Jersey, Inc.
• At Liberty Place LLC,
• Anna Marie M Bailey, RPH
• Paul W Baker Jr., MD
• Bancroft, a New Jersey Nonprofit Corporation
• Board of Education of the Borough of Paulsboro (Paulsboro Public School District)

• Nursing Care Agency in Paulsboro, NJ
• Providers in Paulsboro, NJ by specialty
• Nursing Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.