CPL (BEY LEA VILLAGE) LLC
Assisted Living Facility
Toms River, New Jersey
Provider NPI: 1275562043
Organization Information:Organization Name: CPL (BEY LEA VILLAGE) LLC
Practice Location:
1351 OLD FREEHOLD ROAD TOMS RIVER, NJ 08753 US
Tel: 732-240-0090 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1351 OLD FREEHOLD ROAD TOMS RIVER, NJ 08753 US
Tel: 732-240-0090 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NJ | 65C000 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NJ | 061529 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0079511 | NJ | 05 | |
4494903 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin