Care HSL Cardinal Village Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

35A001 Issued in NJ

Legal business name

CARE HSL CARDINAL VILLAGE OPCO LLC

Doing business as

Cardinal Village

Practice address

455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328

Phone

(856) 582-5292

Fax

(856) 582-5026

NPI assigned

Mar 5, 2014

Organization subpart

Yes

Parent organization

CARE HSL OPCO LLCAs reported in NPPES

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

Authorized official

Name

Mr. Gregory Francis Bobka, JD

Title

General Counsel

Phone

(215) 793-4445

Specialties & licenses 1

Addresses

Other names 1

• Cardinal Village Doing business as

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1639595390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 SKIPPACK PIKE",
            "address_2": "SUITE 300",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221743",
            "telephone_number": "215-793-4445",
            "fax_number": "302-358-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802328",
            "telephone_number": "856-582-5292",
            "fax_number": "856-582-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE HSL CARDINAL VILLAGE OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE HSL OPCO LLC",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "BOBKA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "215-793-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "35A001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana C Cannon, MS OTR/L
• Domenica Caporusso, RD
• Theodora Christine Caraway, D.C.
• Maria Elana Cardillo, LPC
• Care Beyond the Scope, Inc
• Carlos a Obregon, D.O.,P.C.
• Stephanie Marie Carr, MS CCC-SLP
• Emma L Carsillo, CRNP
• Martino Ayad Cartier
• Christina Castorina, PA-C

• Assisted Living Facility in Sewell, NJ
• Providers in Sewell, 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 Mar 5, 2014; 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.