Organization Active NPI

Strategic Long Term Care of New Jersey at Delaire LLC

  • Assisted Living Facility
  • Linden, NJ
National Provider Identifier
1922434158
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
90C000 Issued in NJ
Legal business name
STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLC
Practice address
400 W Stimpson Ave
Linden, NJ 07036-4434
Phone
(908) 862-3399
NPI assigned
Sep 19, 2013
Organization subpart
Yes
Parent organization
STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
John Pilek
Title
Lnha
Phone
(908) 862-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 90C000 NJ Primary

Addresses

Primary practice location

400 W Stimpson Ave
Linden, NJ 07036-4434

Mailing address

400 W Stimpson Ave
Linden, NJ 07036-4434
Phone (908) 862-3399

Other identifiers 1

IdentifierTypeStateIssuer
4504917MedicaidNJ

Other names 1

  • Delaire Gardens Doing business as

National Provider Directory

National Provider Directory
Part of
Strategic Long Term Care of New Jersey at Delaire LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1922434158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W STIMPSON AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364434",
            "telephone_number": "908-862-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W STIMPSON AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364434",
            "telephone_number": "908-862-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLC",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "PILEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "908-862-3399"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "90C000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4504917",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaire Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.