1346307469 NPI number — ARCADIA RETIREMENT COMMUNITY INC

Table of content: (NPI 1346307469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346307469 NPI number — ARCADIA RETIREMENT COMMUNITY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARCADIA RETIREMENT COMMUNITY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346307469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 HIGHWAY 33
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMILTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08690-1705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-586-1114
Provider Business Mailing Address Fax Number:
609-890-8144

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 HIGHWAY 33
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08690-1705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-586-1114
Provider Business Practice Location Address Fax Number:
609-890-8144
Provider Enumeration Date:
01/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROMANO
Authorized Official First Name:
JOANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCIAL CONTROLLER
Authorized Official Telephone Number:
609-586-1114

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  061105 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 955966 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 000662 . This is a "HORIZON BLUE CROSS BLUE S" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4483201 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4483219 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 315111 . This is a "HORIZON BLUE CROSS BLUE S" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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