Organization Active NPI

Forever Loving Care, LLC

  • Adult Care Home Facility
  • River Edge, NJ
National Provider Identifier
1740940923
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FOREVER LOVING CARE, LLC
Practice address
167 Oxford Ter Apt 4
River Edge, NJ 07661-2552
Phone
(201) 707-5037
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Silma M Gordon, MS, CALA,CMDCP, CDP
Title
Member/Manager
Phone
(201) 707-5037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

167 Oxford Ter Apt 4
River Edge, NJ 07661-2552

Mailing address

167 Oxford Ter Apt 4
River Edge, NJ 07661-2552
Phone (201) 707-5037

Other names 1

  • Forever Loving Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1740940923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 OXFORD TER APT 4",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612552",
            "telephone_number": "201-707-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 OXFORD TER APT 4",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612552",
            "telephone_number": "201-707-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER LOVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SILMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "201-707-5037",
        "authorized_official_credential": "MS, CALA,CMDCP, CDP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Loving Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.