Provider Demographics
NPI:1093997603
Name:JEWISH COMMUNITY HOUSING CORPORATION OF METROPOLITAN NEW JERSEY
Entity Type:Organization
Organization Name:JEWISH COMMUNITY HOUSING CORPORATION OF METROPOLITAN NEW JERSEY
Other - Org Name:WESTON ASSISTED LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:COLTON-MAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-731-2020
Mailing Address - Street 1:905 ROUTE 10
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-1181
Mailing Address - Country:US
Mailing Address - Phone:973-929-2700
Mailing Address - Fax:973-428-5270
Practice Address - Street 1:905 ROUTE 10
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1181
Practice Address - Country:US
Practice Address - Phone:973-929-2700
Practice Address - Fax:973-428-5270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQPB2N9310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0124524Medicaid