Organization Name: | HOLY NAME MEDICAL CENTER |
NPI Number: | 1396037149 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN KENNEDY (VP & CFO) |
Mailing Address: | 12 Saddle River Rd Saddle River |
State: | NJ US |
Postal Code: | 07458 |
Phone Number: | 2018333188 |
Fax Number: | 2015307900 |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 02C011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |