NPIMap

Organization Active NPI

1621 Route 22 West Operating Company, LLC

Doing business as Care One at Somerset Valley Assisted Living

  • Assisted Living Facility
  • Bound Brook, NJ
National Provider Identifier
1336706340
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
1621 ROUTE 22 WEST OPERATING COMPANY, LLC
Doing business as
Care One at Somerset Valley Assisted Living
Practice address
1621 Route 22 West
Bound Brook, NJ 08805
Phone
(732) 469-2000
Fax
(732) 469-8917
NPI assigned
May 24, 2019
Last updated
May 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Androvsky Alberto Lugo, ESQ.
Title
General Counsel/Executive Vice Pres
Phone
(201) 242-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1621 Route 22 West
Bound Brook, NJ 08805

Mailing address

1621 Route 22 West
Bound Brook, NJ 08805
Phone (732) 469-2000

Other names 1

  • Care One at Somerset Valley Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1621 Route 22 West Operating Company 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.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1336706340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 ROUTE 22 WEST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-2000",
            "fax_number": "732-469-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 ROUTE 22 WEST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-2000",
            "fax_number": "732-469-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1621 ROUTE 22 WEST OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "ANDROVSKY",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "GENERAL COUNSEL/EXECUTIVE VICE PRES",
        "authorized_official_telephone_number": "201-242-4006",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One at Somerset Valley Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.