Assisted Living of Vineland, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

25A002 Issued in NJ

Legal business name

ASSISTED LIVING OF VINELAND, INC.

Doing business as

Spring Oak Assisted Living at Vineland

Practice address

1503 S Main St
Phillipsburg, NJ 08865-3736

Phone

(908) 859-8500

Fax

(908) 859-5151

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Rader, RN,CALA

Title

Management Agent

Phone

(908) 859-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Oak Assisted Living at Vineland Doing business as

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780734954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MAIN RD.",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "609-507-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S MAIN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653736",
            "telephone_number": "908-859-8500",
            "fax_number": "908-859-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING OF VINELAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "MANAGEMENT AGENT",
        "authorized_official_telephone_number": "908-859-8500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "25A002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8131317",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Oak Assisted Living at Vineland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.