LCS Bridgewater Operations II LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

LCS BRIDGEWATER OPERATIONS II LLC

Practice address

901 Frontier Rd
Bridgewater, NJ 08807-2936

Phone

(732) 507-5151

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Jason Victor

Title

Senior VP, Treasurer, Manager

Phone

(515) 875-4619

Specialties & licenses 2

Addresses

Other names 1

• The Delaney of Bridgewater Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1508448697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST STE 820",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRONTIER RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072936",
            "telephone_number": "732-507-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCS BRIDGEWATER OPERATIONS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VP, TREASURER, MANAGER",
        "authorized_official_telephone_number": "515-875-4619"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Delaney of Bridgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandre Lavard
• Jennifer Lavender
• Benjie Panesh Lavigne, M.A.,CCC-SLP
• Amy D. Lazar, M.D.
• Jennyfer Odalis Lazo
• LCS Bridgewater Operations LLC
• Alexa Lee
• Jack Lee, M.D.
• Nanna Ka-Man Lee, O.D.
• Philip Lee, LAT, ATC, CSCS

• Assisted Living Facility (Mental Illness) in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Assisted Living Facility (Mental Illness) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.