Organization Active NPI

Voorhees Opco, LLC

  • Assisted Living Facility
  • Voorhees, NJ
National Provider Identifier
1417603101
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VOORHEES OPCO, LLC
Doing business as
Residence at Voorhees
Practice address
1301 Laurel Oak Rd
Voorhees, NJ 08043-4339
Phone
(856) 545-0144
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Mr. Leo S Jacques
Title
Controller
Phone
(508) 380-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1301 Laurel Oak Rd
Voorhees, NJ 08043-4339

Mailing address

1301 Laurel Oak Rd
Voorhees, NJ 08043-4339
Phone (856) 545-0144

Other identifiers 1

IdentifierTypeStateIssuer
15A006OtherNJNJ STATE LICENSE

Other names 1

  • Residence at Voorhees Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2153526HCP Voorhees TWSP NJ Opco, LLC1301 Laurel Oak Road, Voorhees, NJ 08043Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1417603101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434339",
            "telephone_number": "856-545-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434339",
            "telephone_number": "856-545-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOORHEES OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "508-380-7377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "15A006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residence at Voorhees",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.