The Haven at Manchester, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

90119 Issued in NJ

Legal business name

THE HAVEN AT MANCHESTER, INC

Practice address

1700 Route 37 W
Toms River, NJ 08757-2347

Phone

(732) 341-0880

Fax

(732) 244-4704

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eric Allgair

Title

VP of Finance

Phone

(732) 244-1400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790820066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087572345",
            "telephone_number": "732-244-1400",
            "fax_number": "732-244-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087572347",
            "telephone_number": "732-341-0880",
            "fax_number": "732-244-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN AT MANCHESTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLGAIR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "732-244-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "90119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.