CNL Galloway, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

01A003 Issued in NJ

Legal business name

CNL GALLOWAY, LLC

Doing business as

Spring Village at Galloway

Practice address

42 W Jimmie Leeds Rd.
Galloway, NJ 08753

Phone

(609) 404-1099

Fax

(609) 404-1477

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Punam Patel

Title

Ed

Phone

(609) 404-1099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Village at Galloway Doing business as

Tax ID family

Woodbine Senior Living LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CNL Galloway, LLC

  dba Spring Village at Galloway

  • Assisted Living Facility
  • Galloway, NJ
  • NPI 1821122276
  NPD tax ID
• Woodbine Senior Living, LLC

  • Assisted Living Facility
  • Galloway, NJ
  • NPI 1477952695
  NPD tax ID

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1952435216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WEST JIMMIE LEEDS RD.",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "609-404-1099",
            "fax_number": "609-404-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W JIMMIE LEEDS RD.",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "609-404-1099",
            "fax_number": "609-404-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNL GALLOWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUNAM",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "609-404-1099"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "01A003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133540",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Village at Galloway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Cino, PHARMD
• Catherine A Cipolla, LCSW
• Rachael Lynne Clark
• Claudia Prapawiwat, MD
• CNL Galloway, LLC (Spring Village at Galloway)
• Coastal Calm LLC
• Coastal Chiropractic
• Coastal Chiropractic and Acupuncture
• Joseph Durso Coffineau, M.D.
• Unique Monia Cohen, LCSW

• Assisted Living Facility in Galloway, NJ
• Providers in Galloway, 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 Feb 4, 2013; 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.