County of Warren

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

62102 Issued in NJ

Legal business name

COUNTY OF WARREN

Doing business as

Warren Haven

Practice address

350 Oxford Road
Oxford, NJ 07863-3224

Phone

(908) 475-7709

Fax

(908) 475-7725

NPI assigned

Oct 6, 2005

Last updated

Jul 19, 2012By 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

Mrs. Tina Tichenor

Title

Supervisor of Accounts

Phone

(908) 475-7709

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WARREN HAVEN Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Warren Co BD of Chosen Freeholder

  dba Warren County Public Health Nursing

  • Home Health Agency
  • Washington, NJ
  • NPI 1497710800

  Member Of

  NPD member

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1821085630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OXFORD RD",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078633224",
            "telephone_number": "908-475-7709",
            "fax_number": "908-475-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OXFORD ROAD",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078633224",
            "telephone_number": "908-475-7709",
            "fax_number": "908-475-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "TICHENOR",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "SUPERVISOR OF ACCOUNTS",
        "authorized_official_telephone_number": "908-475-7709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "62102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4506707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Rhinehart
• Thomas Francis Caleca, M.S. GERONTOLOGIST
• Victoria Carucci
• Shauntele Costa
• County of Warren (Warren County Health Department)
• Tara Dyer
• Terri L Finnegan
• Stephanie Firling
• Foundations Health and Wellness LLC
• Four Corners Community Services (Excel Day Habilitation)

• Skilled Nursing Facility in Oxford, NJ
• Providers in Oxford, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.