Five Star Day Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FNP72Z Issued in NJ

Legal business name

FIVE STAR DAY CARE

Doing business as

Royal Senior Care

Practice address

1041 State Route 36
Atlantic Highlands, NJ 07716-2533

Phone

(732) 291-0710

Fax

(732) 291-2970

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Herbst

Title

Executive Director

Phone

(732) 291-0710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Senior Care Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932248507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 STATE ROUTE 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162533",
            "telephone_number": "732-291-0710",
            "fax_number": "732-291-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 STATE ROUTE 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162533",
            "telephone_number": "732-291-0710",
            "fax_number": "732-291-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERBST",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-291-0710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NJ",
            "license": "FNP72Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8668701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Custodial Care Facility in Atlantic Highlands, NJ
• Providers in Atlantic Highlands, NJ by specialty
• Custodial Care 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.