Noble Senior Living at Bridgeton, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

NOBLE SENIOR LIVING AT BRIDGETON, LLC

Practice address

18 Reeves Rd
Bridgeton, NJ 08302-7247

Phone

(732) 403-3151

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 2020By 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

Drew Barile

Title

Member

Phone

(732) 403-3151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1770182198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011923",
            "telephone_number": "732-403-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 REEVES RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083027247",
            "telephone_number": "732-403-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE SENIOR LIVING AT BRIDGETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-403-3151"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Assisted Living Facility (Mental Illness) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.