Provider Demographics
NPI:1790972297
Name:SOLOMON HOLDINGSI - THE TRIANGLE LLC
Entity Type:Organization
Organization Name:SOLOMON HOLDINGSI - THE TRIANGLE LLC
Other - Org Name:BRIGHTON GARDENS OF WEST ORANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:JESTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-731-9840
Mailing Address - Street 1:220 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2997
Mailing Address - Country:US
Mailing Address - Phone:973-731-9840
Mailing Address - Fax:973-731-9170
Practice Address - Street 1:220 PLEASANT VALLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2997
Practice Address - Country:US
Practice Address - Phone:973-731-9840
Practice Address - Fax:973-731-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility