Provider Demographics
NPI:1336508340
Name:SPRINGPOINT AT DENVILLE, INC.
Entity Type:Organization
Organization Name:SPRINGPOINT AT DENVILLE, INC.
Other - Org Name:THE OAKS AT DENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. V.P. /CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:T
Authorized Official - Last Name:MIDGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-430-3675
Mailing Address - Street 1:4814 OUTLOOK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6812
Mailing Address - Country:US
Mailing Address - Phone:732-430-3650
Mailing Address - Fax:732-430-3711
Practice Address - Street 1:19 POCONO RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2996
Practice Address - Country:US
Practice Address - Phone:732-430-3650
Practice Address - Fax:732-430-3714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ60A002310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility