Fanwood Senior Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

90A000 Issued in NJ

Legal business name

FANWOOD SENIOR CARE, LLC

Doing business as

The Chelsea at Fanwood

Practice address

295 South Ave
Fanwood, NJ 07023-1357

Phone

(908) 654-5200

Fax

(908) 789-0451

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CMG CHELSEA SENIOR CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Roger Bernier

Title

Coo

Phone

(908) 889-4200

Specialties & licenses 1

Addresses

Other names 1

• The Chelsea at Fanwood Doing business as

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1851670426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231357",
            "telephone_number": "908-654-5200",
            "fax_number": "908-789-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231357",
            "telephone_number": "908-654-5200",
            "fax_number": "908-789-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANWOOD SENIOR CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMG CHELSEA SENIOR CARE, LLC",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BERNIER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-889-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "90A000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chelsea at Fanwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fanwood Eye Care LLC
• Fanwood Family and Cosmetic Dentistry
• Fanwood Family Dental
• Fanwood RX Corp (Fanwood Pharmacy LTC)
• Fanwood RX Corp (Fanwood Pharmacy)
• Jennifer C Feeney, DVM
• Theresa Fernandes, BCBA
• Lawrence Fleischman
• Faith E Galletley, BCBA
• Tiffany E Gary

• Assisted Living Facility in Fanwood, NJ
• Providers in Fanwood, 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 12, 2011; 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.