Organization Active NPI

Terraces at Parke Place

  • Assisted Living Facility
  • Sewell, NJ
National Provider Identifier
1871643148
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
35A003 Issued in NJ
Legal business name
TERRACES AT PARKE PLACE
Practice address
661 Delsea Dr
Sewell, NJ 08080-9303
Phone
(856) 256-1776
Fax
(856) 256-2775
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Ms. Rene' T Collins, CALA
Title
Administrator
Phone
(856) 856-1776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 35A003 NJ Primary

Addresses

Primary practice location

661 Delsea Dr
Sewell, NJ 08080-9303

Mailing address

661 Delsea Dr
Sewell, NJ 08080-9303
Phone (856) 256-1776

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2197158Terraces at Parke Place661 Delsea Drive, Sewell, NJ 08080Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1871643148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809303",
            "telephone_number": "856-256-1776",
            "fax_number": "856-256-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809303",
            "telephone_number": "856-256-1776",
            "fax_number": "856-256-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACES AT PARKE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RENE'",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-856-1776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "35A003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.