Eb Care at Englewood, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EB CARE AT ENGLEWOOD, LLC

Practice address

412 South Van Brunt Street
Englewood, NJ 07631

Phone

(551) 775-6100

Fax

(551) 775-6124

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Steven Krieger

Title

Member

Phone

(516) 474-1200

Specialties & licenses 1

Addresses

Other names 1

• The Bristal at Englewood Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1346895950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SOUTH VAN BRUNT STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "551-775-6100",
            "fax_number": "551-775-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SOUTH VAN BRUNT STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "551-775-6100",
            "fax_number": "551-775-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EB CARE AT ENGLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-474-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bristal at Englewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Auguste Duverneau, D,C.
• David Dvir, MD
• Floyd Dy, OTR, L
• Dyno Dental, L.L.C.
• East Hill Dental PC
• Josemy Ebreo-Ferrer, NP-C
• Ed Medical Associates, Inc
• Eden Group Counseling
• Savanna Edighoffer
• Cynthia Eisenberg, LCSW

• Assisted Living Facility in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.