Provider Demographics
NPI:1619018611
Name:KAPSON CRANFORD CORPORATION
Entity Type:Organization
Organization Name:KAPSON CRANFORD CORPORATION
Other - Org Name:ATRIA ASSIT.LIV/RETIREMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMUNITY BUSINESS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-709-4300
Mailing Address - Street 1:10 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3602
Mailing Address - Country:US
Mailing Address - Phone:908-709-4300
Mailing Address - Fax:908-709-1460
Practice Address - Street 1:10 JACKSON DR
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3602
Practice Address - Country:US
Practice Address - Phone:908-709-4300
Practice Address - Fax:908-709-1460
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATRIA SENIOR LIVING GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-11
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ82472310400000X, 311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8138001Medicaid