Active NPI
Senior Skin Care, LLC
- Adult Care Home Facility
- Changewater, NJ
National Provider Identifier
1659779221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 25MA066807000
- Legal business name
- SENIOR SKIN CARE, LLC
- Practice address
- 198 Changewater Road
Changewater, NJ 07831 - Phone
- (908) 391-2548
- NPI assigned
- Dec 15, 2014
- Last updated
- Feb 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Errickson, MD
- Title
- Owner
- Phone
- (908) 391-2548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 25MA066807000 | NJ | Primary |
Addresses
Primary practice location
198 Changewater Road
Changewater, NJ 07831
Mailing address
198 Changewater Road
PO Box 14
Changewater, NJ 07831
Phone (908) 391-2548
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423785600000",
"number": "1659779221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 CHANGEWATER ROAD",
"address_2": "PO BOX 14",
"city": "CHANGEWATER",
"state": "NJ",
"postal_code": "07831",
"telephone_number": "908-391-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 CHANGEWATER ROAD",
"city": "CHANGEWATER",
"state": "NJ",
"postal_code": "07831",
"telephone_number": "908-391-2548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR SKIN CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-15",
"last_updated": "2015-02-13",
"status": "A",
"authorized_official_last_name": "ERRICKSON",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-391-2548",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NJ",
"license": "25MA066807000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Changewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.