Egg Harbor Township Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EGG HARBOR TOWNSHIP AL, LLC

Doing business as

The Addison of Somers Place

Practice address

199 Steelmanville Rd
Egg Harbor Township, NJ 08234-7571

Phone

(609) 926-5891

NPI assigned

May 7, 2024

Last updated

May 7, 2024By 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

Stephen Levy

Title

Agent for Owner

Phone

(312) 673-4387

Specialties & licenses 1

Addresses

Other names 1

• The Addison of Somers Place Doing business as

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1619725595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 STEELMANVILLE RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347571",
            "telephone_number": "609-926-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STEELMANVILLE RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347571",
            "telephone_number": "609-926-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGG HARBOR TOWNSHIP AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AGENT FOR OWNER",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Addison of Somers Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jemma Rae Dybus
• Sofia Echeverri Valencia
• Egg Harbor Care and Rehabilitation Center LLC
• Egg Harbor Care Center LLC
• Egg Harbor Family Dental, PA
• Egg Harbor Township Physical Therapy & Pain Relief LLC
• Raef A Elgawli, M.D.
• James David Elliott, B.A. M.DIV.
• Jeanine Ellis
• Leonora M Ellis

• Assisted Living Facility in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, 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 May 7, 2024; 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.