Wishing Well Adult Day Health Care, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

11012 Issued in NJ

Legal business name

WISHING WELL ADULT DAY HEALTH CARE, LLC

Practice address

3450 Princeton Pike Ste 120
Lawrenceville, NJ 08648-1206

Phone

(732) 242-9741

Fax

(732) 242-9741

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Denise O'Connor, RN

Title

Director of Nursing

Phone

(732) 856-3778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1548620701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 PRINCETON PIKE STE 120",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481206",
            "telephone_number": "732-242-9741",
            "fax_number": "732-242-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 PRINCETON PIKE STE 120",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481206",
            "telephone_number": "732-242-9741",
            "fax_number": "732-242-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHING WELL ADULT DAY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "732-856-3778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NJ",
            "license": "11012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Nursing Facility/Intermediate Care Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.