Ivq Glassboro Opco, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IVQ GLASSBORO OPCO, LP

Practice address

3152 Glassboro Cross Keys Rd
Glassboro, NJ 08028-2723

Phone

(856) 347-2084

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Scott Higgs

Title

Chief Financial Officer

Phone

(317) 643-6402

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1659928679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST STE 400",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 GLASSBORO CROSS KEYS RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282723",
            "telephone_number": "856-347-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVQ GLASSBORO OPCO, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HIGGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-643-6402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Carl Huston Jr., D.O.
• Courtney Iantosca, LCSW
• Quinn Ann Ingemi, LPC
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• J & H Healing Therapy
• Leanna Jackson, RN
• Lori Michele Jalkiewicz, LCSW
• Rahed Jarri
• Lisa Jerry, PT, DPT

• Assisted Living Facility in Glassboro, NJ
• Providers in Glassboro, 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 Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.