Provider Demographics
NPI:1841783008
Name:CSH NORWOOD LICENSEE, LLC
Entity Type:Organization
Organization Name:CSH NORWOOD LICENSEE, LLC
Other - Org Name:ATRIA NORWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP, GENERAL COUNSEL, & SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-779-7663
Mailing Address - Street 1:300 E MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1968
Mailing Address - Country:US
Mailing Address - Phone:502-779-4700
Mailing Address - Fax:
Practice Address - Street 1:545 TAPPAN RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-1226
Practice Address - Country:US
Practice Address - Phone:201-768-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02A026310400000X, 311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)