Provider Demographics
NPI:1992321806
Name:SAPPHIRE ASSISTED LIVING
Entity type:Organization
Organization Name:SAPPHIRE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GURU
Authorized Official - Middle Name:
Authorized Official - Last Name:VENKATARAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-645-1525
Mailing Address - Street 1:319 SPOTSWOOD GRAVEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2950
Mailing Address - Country:US
Mailing Address - Phone:732-429-4989
Mailing Address - Fax:
Practice Address - Street 1:319 SPOTSWOOD GRAVEL HILL RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-2950
Practice Address - Country:US
Practice Address - Phone:732-429-4989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health