120 124 Noyes Drive Operating Company LLC
Organization Active NPI Assisted Living Facility · Park Ridge, NJ
NPI 1770947269 · NPPES record last updated Dec 31, 2024
Key facts
- NPI
- 1770947269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 05A001 (NJ)
- Legal business name
- 120 124 NOYES DRIVE OPERATING COMPANY LLC
- Practice address
- 124 Noyes Dr
Park Ridge, NJ 07656-1294 - Phone
- (201) 782-0440
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Greg Hook
- Title
- Evp
- Phone
- (201) 953-0546
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 120 124 Noyes Drive Operating Company LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 05A001 | NJ | Yes |
Addresses
Primary practice location
124 Noyes Dr
Park Ridge, NJ 07656-1294
Mailing address
C/O Spring Hills LLC 26 Main Street
Edison, NJ 08837
Phone (732) 582-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0512231 | Medicaid | NJ |
Other providers in Park Ridge, NJ
- 120-124 Noyes Drive Operating Company LLC
- Acu-Vision Therapy LLC.
- All Dental Solutions LLC
- Jennifer Allen
- Altius Physical Therapy LLC
All providers in Park Ridge, NJ · Assisted Living Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.