Organization · Type 2 NPI

Morningside Health Limited Liability Com

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fanwood, NJ

NPI number 1093287484 Active

Practice location

33 Laurel Pl
Fanwood, NJ 07023-1314

Fax (908) 654-3179

Specialties and licenses

Taxonomy	Code	License
Home Health Registered Nurse	163WH0200X	None listed
Contractor	171W00000X	None listed
Home Health Certified Respiratory Therapist	2278H0200X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed
Respite Care	385H00000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1093287484
Entity type: Organization (Type 2)
Issued: Dec 22, 2018
Last updated: Feb 11, 2019
Status: Active

Other names

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Morningside Health Limited Liability Com · doing business as
Morningside Health Limited Liability Com · doing business as

Authorized official

Donald Kanu
CEO
(973) 997-8859

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093287484

Morningside Health Limited Liability Com's National Provider Identifier is 1093287484, issued on Dec 22, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fanwood, NJ. The record was last updated on Feb 11, 2019.