Alliance Adult Medical Day Care Services, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

04008 Issued in NJ

Legal business name

ALLIANCE ADULT MEDICAL DAY CARE SERVICES, LLC

Practice address

607 S White Horse Pike
Audubon, NJ 08106-1314

Phone

(856) 617-6396

Fax

(856) 617-6026

NPI assigned

Dec 28, 2013

Last updated

Apr 17, 2017By 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

Jupjeet Kaur

Title

Owner/Ceo

Phone

(862) 591-7127

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1740601376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S WHITE HORSE PIKE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061314",
            "telephone_number": "856-617-6396",
            "fax_number": "856-617-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S WHITE HORSE PIKE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061314",
            "telephone_number": "856-617-6396",
            "fax_number": "856-617-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ADULT MEDICAL DAY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "JUPJEET",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "862-591-7127"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "04008",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.