Organization Active NPI

Fve Ec LLC

  • Assisted Living Facility
  • Voorhees, NJ
National Provider Identifier
1780827030
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FVE EC LLC
Practice address
501 Laurel Oak Rd
Voorhees, NJ 08043-4418
Phone
(856) 566-2340
NPI assigned
Apr 16, 2009
Organization subpart
Yes
Parent organization
FVE EC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Bruce J. Mackey Jr.
Title
President & Chief Executive Officer
Phone
(617) 796-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

501 Laurel Oak Rd
Voorhees, NJ 08043-4418

Mailing address

400 Centre St
Newton, MA 02458-2094

Other identifiers 1

IdentifierTypeStateIssuer
0356115MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Fve Ec LLC2 organizations share this tax ID, including this one
Part of
Fve Ec LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1780827030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434418",
            "telephone_number": "856-566-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVE EC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FVE EC LLC",
        "enumeration_date": "2009-04-16",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356115",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.