Andover Rehab Center Services Two Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ANDOVER REHAB CENTER SERVICES TWO INC

Practice address

99 Mulford Road
Lafayette, NJ 07848

Phone

(973) 383-6200

Fax

(973) 383-0359

NPI assigned

Aug 4, 2006

Last updated

Mar 28, 2008By 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

Mrs. Carla Turco Kipiani, LNHA

Title

President Owner

Phone

(201) 460-8904

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1649288572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "07071",
            "telephone_number": "201-460-8904",
            "fax_number": "201-460-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MULFORD ROAD",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-383-6200",
            "fax_number": "973-383-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER REHAB CENTER SERVICES TWO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "KIPIANI",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "TURCO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "201-460-8904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4503601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475690",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01815952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Cecilia Alai
• Donald Thomas Alosio Jr., D.C.
• Andover Intermediate Care Center
• Andover Nursing & Convalescent Home
• Andover Subacute & Rehab Center Services One Inc
• Andover Subacute & Rehab Center Services One Inc
• Andover Subacute and Rehab Center Services T Wo Inc
• Arc Ambulance Inc.
• Brittany Basurco, RBT

• Skilled Nursing Facility in Lafayette, NJ
• Providers in Lafayette, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.