Provider Demographics
NPI:1891028726
Name:ANSA CONSULTANTS, INC.
Entity Type:Organization
Organization Name:ANSA CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.T.A/FULL-TIME
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:AMANTI
Authorized Official - Last Name:PATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:908-879-4826
Mailing Address - Street 1:401 RIDGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-3300
Mailing Address - Country:US
Mailing Address - Phone:732-230-3076
Mailing Address - Fax:
Practice Address - Street 1:401 RIDGE RD STE 1
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-3300
Practice Address - Country:US
Practice Address - Phone:732-230-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANSA CONSULTANTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TA0902300310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility