Provider Demographics
NPI:1316089360
Name:MCAULEY HALL INC
Entity type:Organization
Organization Name:MCAULEY HALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:GORMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-754-3663
Mailing Address - Street 1:1633 HIGHWAY 22 WEST
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6588
Mailing Address - Country:US
Mailing Address - Phone:908-754-3663
Mailing Address - Fax:908-754-3502
Practice Address - Street 1:1633 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6505
Practice Address - Country:US
Practice Address - Phone:908-754-3663
Practice Address - Fax:908-754-3502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF MERCY OF THE AMERICAS MID ATLANTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061813314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6329209Medicaid
NJ6329209Medicaid