Active NPI
Black Horse Eht Urban Renewal LLC
- Assisted Living Facility
- Egg Harbor Township, NJ
National Provider Identifier
1437709797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BLACK HORSE EHT URBAN RENEWAL LLC
- Practice address
- 6817 Black Horse Pike
Egg Harbor Township, NJ 08234-4131 - Phone
- (732) 403-3154
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Drew Barile
- Title
- Member
- Phone
- (732) 403-3154
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Assisted Living Facility | 310400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6817 Black Horse Pike
Egg Harbor Township, NJ 08234-4131
Mailing address
48 Pavilion Ave Ste 2
Long Branch, NJ 07740-6413
Phone (732) 403-3154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2019.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568764800000",
"number": "1437709797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 PAVILION AVE STE 2",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406413",
"telephone_number": "732-403-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 BLACK HORSE PIKE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082344131",
"telephone_number": "732-403-3154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK HORSE EHT URBAN RENEWAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A",
"authorized_official_last_name": "BARILE",
"authorized_official_first_name": "DREW",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-403-3154"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.