Provider Demographics
NPI:1215014048
Name:UNITED METHODIST HOMES OF NEW JERSEY
Entity Type:Organization
Organization Name:UNITED METHODIST HOMES OF NEW JERSEY
Other - Org Name:FRANCIS ASBURY MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-922-9802
Mailing Address - Street 1:3311 STATE ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-3440
Mailing Address - Country:US
Mailing Address - Phone:732-922-9802
Mailing Address - Fax:732-922-9804
Practice Address - Street 1:70 STOCKTON AVE
Practice Address - Street 2:
Practice Address - City:OCEAN GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07756-1150
Practice Address - Country:US
Practice Address - Phone:732-774-1316
Practice Address - Fax:732-776-6313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ310400000X310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7661509Medicaid
NJ7661509Medicaid