Organization Active NPI

Careret Senior Living

  • Assisted Living Facility
  • Elizabeth, NJ
National Provider Identifier
1992845150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
90A120 Issued in NJ
Legal business name
CARERET SENIOR LIVING
Practice address
1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone
(908) 352-9200
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Phyllis A Deyo
Title
Director LTC Accounts
Phone
(732) 206-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 90A120 NJ Primary

Addresses

Primary practice location

1155 E Jersey St
Elizabeth, NJ 07201-2310

Mailing address

1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone (908) 352-9200

Other identifiers 1

IdentifierTypeStateIssuer
0009229MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Careret Senior Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992845150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012310",
            "telephone_number": "908-352-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012310",
            "telephone_number": "908-352-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARERET SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR LTC ACCOUNTS",
        "authorized_official_telephone_number": "732-206-8003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "90A120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009229",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • 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.