Artis Senior Living of Evesham, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

03A008 Issued in NJ

Legal business name

ARTIS SENIOR LIVING OF EVESHAM, LLC

Practice address

302 Lippincott Dr
Evesham, NJ 08053-4116

Phone

(856) 810-0007

Fax

(856) 810-0005

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By 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

Mr. Edward Thomas Yarish

Title

Manager

Phone

(215) 372-0178

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": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1689162216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 AMERICAN AVE STE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064023",
            "telephone_number": "215-372-0178",
            "fax_number": "484-831-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LIPPINCOTT DR",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080534116",
            "telephone_number": "856-810-0007",
            "fax_number": "856-810-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTIS SENIOR LIVING OF EVESHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "YARISH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-372-0178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "03A008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Evesham, NJ
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• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.