Evermay at Branchville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERMAY AT BRANCHVILLE, LLC

Doing business as

Bentley Assisted Living at Branchville

Practice address

3 Phillips Rd
Branchville, NJ 07826-4333

Phone

(973) 948-8884

Fax

(973) 948-2502

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Allison Kuiken

Title

Admininstrator

Phone

(973) 948-8884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bentley Assisted Living at Branchville 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Kenneth Charles, PT

  • Physical Therapist
  • Branchville, NJ
  • NPI 1265673123
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1528320405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PHILLIPS RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078264333",
            "telephone_number": "973-948-8884",
            "fax_number": "973-948-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PHILLIPS RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078264333",
            "telephone_number": "973-948-8884",
            "fax_number": "973-948-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERMAY AT BRANCHVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KUIKEN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "973-948-8884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145173",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentley Assisted Living at Branchville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria S Cunico, R.N.
• Danny's World LLC
• Anthony A Depaola, DO
• John Thomas Diffily, PT
• Grace Engels, RD
• Frankford TWP BD of Educ (Frankford Township Board of Education)
• Courtney Elann Gardepe, RN
• Good Vibes Counseling Center
• Ann Hartig
• Glenn Scott Heller, DMD

• Assisted Living Facility in Branchville, NJ
• Providers in Branchville, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.