MSH West Essex Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

30A003 Issued in NJ

Legal business name

MSH WEST ESSEX OPERATING LLC

Doing business as

Sunrise Assisted Living at West Essex

Practice address

47 Greenbrook Rd
Fairfield, NJ 07004-3890

Phone

(973) 228-7890

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Richard Caminiti

Title

Executive Director

Phone

(973) 228-7890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Assisted Living at West Essex Doing business as

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831232263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GREENBROOK RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043890",
            "telephone_number": "973-228-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 GREENBROOK RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043890",
            "telephone_number": "973-228-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSH WEST ESSEX OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMINITI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-228-7890"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "30A003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8130906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living at West Essex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fairfield, NJ
• Providers in Fairfield, 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 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.