Organization Active NPI

610 Townbank Road Operations LLC

Doing business as Victoria Commons Retirement Center

  • Assisted Living Facility
  • North Cape May, NJ
National Provider Identifier
1831134923
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
20C100 Issued in NJ
Legal business name
610 TOWNBANK ROAD OPERATIONS LLC
Doing business as
Victoria Commons Retirement Center
Practice address
610 Town Bank Rd
North Cape May, NJ 08204-3561
Phone
(609) 898-0044
Fax
(609) 898-9644
NPI assigned
Jun 20, 2006
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS NJ HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Walter Kieler
Title
President
Phone
(505) 468-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 20C100 NJ Primary

Addresses

Primary practice location

610 Town Bank Rd
North Cape May, NJ 08204-3561

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other identifiers 1

IdentifierTypeStateIssuer
9046704MedicaidNJ

Other names 1

  • Victoria Commons Retirement Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
610 Townbank Road Operations LLC2 organizations share this tax ID, including this one

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1831134923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TOWN BANK RD",
            "city": "NORTH CAPE MAY",
            "state": "NJ",
            "postal_code": "082043561",
            "telephone_number": "609-898-0044",
            "fax_number": "609-898-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "610 TOWNBANK ROAD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS NJ HOLDINGS LLC",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "KIELER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "20C100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9046704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Commons Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Cape May, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.