Provider Demographics
NPI:1851390546
Name:CARE ONE AT PARSIPPANY TROY HILLS, LLC
Entity Type:Organization
Organization Name:CARE ONE AT PARSIPPANY TROY HILLS, LLC
Other - Org Name:CARE ONE AT MORRIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP & GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:A.
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-242-4000
Mailing Address - Street 1:100 MAZDABROOK ROAD PARSIPPANY
Mailing Address - Street 2:
Mailing Address - City:TROY HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-952-5300
Mailing Address - Fax:973-739-9051
Practice Address - Street 1:100 MAZDABROOK RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3304
Practice Address - Country:US
Practice Address - Phone:973-739-9494
Practice Address - Fax:973-739-9051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9081704Medicaid
NJ9081704Medicaid