Statewide Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STATEWIDE CARE LLC

Practice address

1970 Brunswick Ave Apt 100
Lawrenceville, NJ 08648-4667

Phone

(609) 298-2229

Fax

(609) 298-7708

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Christiana Foglio

Title

Managing Member

Phone

(609) 298-2229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1346807930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 BRUNSWICK AVE APT 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484667",
            "telephone_number": "609-298-2229",
            "fax_number": "609-298-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 BRUNSWICK AVE APT 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484667",
            "telephone_number": "609-298-2229",
            "fax_number": "609-298-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Woodward Road",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077266041",
            "country_code": "US",
            "telephone_number": "732-792-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Elton Adelphia Rd",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077288653",
            "country_code": "US",
            "telephone_number": "732-431-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATEWIDE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FOGLIO",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-298-2229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.