The Club at Kensington Court

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

I87QXS Issued in NJ

Legal business name

THE CLUB AT KENSINGTON COURT

Practice address

864 Shrewsbury Ave
Tinton Falls, NJ 07724-3074

Phone

(732) 542-8700

Fax

(732) 542-6447

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

John Woznisky

Title

Administrator

Phone

(732) 542-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kensington Court2 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.

• Sycamore Manor LLC

  • Assisted Living Facility
  • Tinton Falls, NJ
  • NPI 1386770410
  NPD tax ID

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881721231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243074",
            "telephone_number": "732-542-8700",
            "fax_number": "732-542-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243074",
            "telephone_number": "732-542-8700",
            "fax_number": "732-542-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLUB AT KENSINGTON COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOZNISKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-542-8700"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "I87QXS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8767009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Adult Day Care Clinic/Center 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.