Sycamore Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

Q4VDWW Issued in NJ

Legal business name

SYCAMORE MANOR LLC

Doing business as

Kensington Court

Practice address

864 Shrewsbury Ave
Tinton Falls, NJ 07724

Phone

(732) 784-2400

Fax

(732) 542-6447

NPI assigned

Feb 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Marhan

Title

Controller

Phone

(732) 784-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kensington Court Doing business as

Tax ID family

Kensington Court2 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.

• The Club at Kensington Court

  • Adult Day Care Clinic/Center
  • Tinton Falls, NJ
  • NPI 1881721231
  NPD tax ID

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1386770410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-784-2400",
            "fax_number": "732-542-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-784-2400",
            "fax_number": "732-542-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MARHAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-784-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "Q4VDWW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8767017",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Starlight ABA NJ LLC
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• Stephen a. Chagares, MD, PC
• Vicki Stollsteimer, MSW
• Sunsil Asnani, M.D. LLC
• Sycamore Smiles Pediatric Dentistry LLC
• Lenora Ann Tafuri-Acevedo, NP
• Jeffrey Paul Takach, PA-C
• Laura Tapia, MEDICAL ASSISTANT
• Rebecca Taylor, PT, DPT

• Assisted Living Facility in Tinton Falls, NJ
• Providers in Tinton Falls, 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 Jul 10, 2008; 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.