120 124 NOYES DRIVE OPERATING COMPANY LLC – NPI #1770947269
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

120 124 NOYES DRIVE OPERATING COMPANY LLC is an assisted living facility located in PARK RIDGE, NJ. NPPES has assigned the NPI number 1770947269 to 120 124 NOYES DRIVE OPERATING COMPANY LLC on April 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was last updated on Dec 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 120 124 NOYES DRIVE OPERATING COMPANY LLC below.

NPI Profile for
120 124 NOYES DRIVE OPERATING COMPANY LLC

NPI Number
1770947269
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
120 124 NOYES DRIVE OPERATING COMPANY LLC
Primary location
124 NOYES DR
PARK RIDGE, NJ 07656-1294
Phone: (201) 782-0440 Fax:
Mailing address
C/O SPRING HILLS LLC 26 MAIN STREET
EDISON, NJ 08837
Phone: (732) 582-0400 Fax:
Organization Subpart
No
Authorized Official
GREG HOOK
EVP
Phone: (201) 953-0546
Updated
Certification Date
Dec 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 120 124 NOYES DRIVE OPERATING COMPANY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ0512231
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
NJ 05A001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.