Radha Adult Daycare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

04017 Issued in NJ

Legal business name

RADHA ADULT DAYCARE LLC

Practice address

316 Black Horse Pike
Glendora, NJ 08029-1476

Phone

(856) 313-6741

Fax

(732) 960-2360

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 2017By 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. Rohit Patel

Title

Managing Member

Phone

(856) 906-7203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1790226017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BLACK HORSE PIKE",
            "address_2": "UNIT B",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291439",
            "telephone_number": "856-931-0753",
            "fax_number": "732-960-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BLACK HORSE PIKE",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291476",
            "telephone_number": "856-313-6741",
            "fax_number": "732-960-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHA ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "856-906-7203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "04017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Glendora, NJ
• Providers in Glendora, 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 Mar 20, 2017; 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.