Provider Demographics
NPI:1124471800
Name:SPRING OAK OF TOMS RIVER ALP LLC
Entity type:Organization
Organization Name:SPRING OAK OF TOMS RIVER ALP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-719-8682
Mailing Address - Street 1:2095 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2032
Mailing Address - Country:US
Mailing Address - Phone:732-719-8682
Mailing Address - Fax:732-905-2232
Practice Address - Street 1:2145 WHITESVILLE RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1175
Practice Address - Country:US
Practice Address - Phone:732-905-9222
Practice Address - Fax:732-905-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15A101310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility