Elder Care of Belleville LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELDER CARE OF BELLEVILLE LLC

Doing business as

Circle of Life at Belleville Adult Day Center

Practice address

250 Mill St
Belleville, NJ 07109-2473

Phone

(973) 876-9617

NPI assigned

May 28, 2015

Last updated

May 28, 2015By 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

Mr. Rakesh Antala

Title

Partner

Phone

(973) 876-9617

Specialties & licenses 1

Addresses

Other names 1

• CIRCLE OF LIFE AT BELLEVILLE ADULT DAY CENTER Doing business as

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1770962300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MILL ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092473",
            "telephone_number": "973-876-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MILL ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092473",
            "telephone_number": "973-876-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE OF BELLEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "ANTALA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-876-9617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIRCLE OF LIFE AT BELLEVILLE ADULT DAY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.