Organization Active NPI

Zirbser - Greenbriar, Inc.

  • Adult Care Home Facility
  • Hammonton, NJ
National Provider Identifier
1487794038
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
018102 Issued in NJ
Legal business name
ZIRBSER - GREENBRIAR, INC.
Practice address
45 Route 206
Hammonton, NJ 08037-2722
Phone
(609) 561-8977
Fax
(609) 561-1158
NPI assigned
Feb 6, 2007
Organization subpart
Yes
Parent organization
ZIRBSER - GREENBRIAR, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Phyllis R. Fisher
Title
Financial Director
Phone
(609) 561-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 018102 NJ Primary

Addresses

Primary practice location

45 Route 206
Hammonton, NJ 08037-2722

Mailing address

45 Route 206
Hammonton, NJ 08037-2722
Phone (609) 561-8977

Other identifiers 1

IdentifierTypeStateIssuer
8436312MedicaidNJ

Other names 1

  • The Heritage Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenbriar Health Care Center Hammonton4 organizations share this tax ID, including this one
Part of
Greenbriar Health Care Center Hammonton

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1487794038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 206",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372722",
            "telephone_number": "609-561-8977",
            "fax_number": "609-561-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 206",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372722",
            "telephone_number": "609-561-8977",
            "fax_number": "609-561-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIRBSER - GREENBRIAR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZIRBSER - GREENBRIAR, INC.",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "609-561-8977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "018102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8436312",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heritage Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.