Provider Demographics
NPI:1578361119
Name:JUNIPER VILLAGE AT PARAMUS, LLC.
Entity type:Organization
Organization Name:JUNIPER VILLAGE AT PARAMUS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:973-661-8300
Mailing Address - Street 1:186 PARAMUS RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1309
Mailing Address - Country:US
Mailing Address - Phone:973-661-8300
Mailing Address - Fax:
Practice Address - Street 1:186 PARAMUS RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1309
Practice Address - Country:US
Practice Address - Phone:973-661-8300
Practice Address - Fax:973-661-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility