Provider Demographics
NPI:1144218280
Name:MORRIS COUNTY BOARD OF CHOSEN FREEHOLDERS
Entity Type:Organization
Organization Name:MORRIS COUNTY BOARD OF CHOSEN FREEHOLDERS
Other - Org Name:MORRIS VIEW CENTER BOARD OF CHOSEN FREEHOLDERS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIARELLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-285-2893
Mailing Address - Street 1:P.O. BOX 437
Mailing Address - Street 2:MORRIS VIEW HEALTHCARE CENTER 540 WEST HANOVER AVENUE
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950
Mailing Address - Country:US
Mailing Address - Phone:973-285-2893
Mailing Address - Fax:973-285-6062
Practice Address - Street 1:540 W HANOVER AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-285-2800
Practice Address - Fax:973-285-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061411314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4492404Medicaid
NJ315303Medicare UPIN