Provider Demographics
NPI:1609904226
Name:ADULT DAY CENTER OF THE VISITING NURSE ASSOCIATION OF SOMERSET HILLS,
Entity Type:Organization
Organization Name:ADULT DAY CENTER OF THE VISITING NURSE ASSOCIATION OF SOMERSET HILLS,
Other - Org Name:SOMERSET HILLS ADULT DAY CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-766-0180
Mailing Address - Street 1:200 MT. AIRY RD.
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2335
Mailing Address - Country:US
Mailing Address - Phone:908-766-0180
Mailing Address - Fax:908-766-5492
Practice Address - Street 1:200 MT. AIRY RD.
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2335
Practice Address - Country:US
Practice Address - Phone:908-766-0180
Practice Address - Fax:908-766-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ00074501Medicaid
NJ00074501Medicaid