CSH Mount Laurel Licensee, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSH MOUNT LAUREL LICENSEE, LLC

Doing business as

Arbor Terrace Mount Laurel

Practice address

785 Centerton Rd
Mount Laurel, NJ 08054-1607

Phone

(856) 367-3006

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Fix

Title

Executive Director

Phone

(856) 367-3006

Specialties & licenses 1

Addresses

Other names 1

• Arbor Terrace Mount Laurel Doing business as

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1720696222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541607",
            "telephone_number": "856-367-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541607",
            "telephone_number": "856-367-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSH MOUNT LAUREL LICENSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-367-3006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Terrace Mount Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saundra Creecy, MD
• Creek Healthcare Services LLC
• Hannah Rose Crowe
• Samone Crumidy, BCBA
• Francesca Maria Crump, PHD
• Christopher Cuccolo, LPC
• Anthony Cultrara, M.D.
• Asia Monique Cummings
• Meghan Cwynar, BCBA
• Maryann D'Arrigo, MSN, APN-C

• Assisted Living Facility in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Jul 21, 2020; 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.