Organization Active NPI

Black Horse Eht Urban Renewal LLC

  • Assisted Living Facility
  • Egg Harbor Township, NJ
National Provider Identifier
1437709797
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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 Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.