National Provider Identifier Database

SHP V ROSELAND LLC
Assisted Living Facility

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.


Contact Information

SHP V ROSELAND, LLC
345 EAGLE ROCK AVENUE
ROSELAND, NJ07068
Phone: 973-618-1888
Fax: 973-618-0888
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for SHP V ROSELAND, LLC

NPI Number 1477094472
Legal business name
LBN
SHP V ROSELAND, LLC
Authorized official ROBERT FIORESE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/10/2017
Last updated 06/21/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 07015
  • NJ Medicaid: 0593877

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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