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JUNIPER VILLAGE AT WILLIAMSTOWN
NPI 1124146030
Assisted Living Facility in Williamstown, NJ

Active since March 27, 2007CLIA Certified · 2 labs
1640 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094(856) 740-4444(856) 740-4445 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juniper Village At Williamstown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUNIPER VILLAGE AT WILLIAMSTOWN (NPI 1124146030) is a healthcare organization registered as an assisted living facility in Williamstown, New Jersey and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Linda C. Donato, Secretaty, as its authorized official.

NPPES Registry Identity

NPI1124146030
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJUNIPER VILLAGE AT WILLIAMSTOWN, LLC
Location Address1640 S BLACK HORSE PIKEWilliamstown, NJ 08094-9247
Mailing Address1640 S Black Horse PikeWilliamstown, NJ 08094-9247 · (856) 740-4444 · Fax (856) 740-4445
Phone(856) 740-4444
Fax(856) 740-4445
Organization SubpartNo
Authorized OfficialLinda C. DonatoSecretaty · (973) 945-3526
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 6, 2014
✔ NPI 1124146030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NJ · 35A005
Definition
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.
1640 S BLACK HORSE PIKE, Williamstown, NJ 08094
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Other Names 1

Doing Business AsJuniper Village At Williamstown

Other Identifiers 1

Medicaid8098662NJ

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1023243

Juniper Village At Williamstown · Williamstown, NJ
Active · expires Dec 25, 2026
CLIA Number31D1023243
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMelissa T. Repkoe
Laboratory Phone(856) 740-4444
Laboratory LocationJuniper Village At Williamstown1640 South Black Horse Pike, Williamstown, NJ 08094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2316029

Juniper Village At Wellspring · Williamstown, NJ
Active · expires Dec 25, 2026
CLIA Number31D2316029
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMelissa T. Repkoe
Laboratory Phone(856) 740-4444
Laboratory LocationJuniper Village At Wellspring1648 South Black Horse Pike, Williamstown, NJ 08094
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POWERBACK REHABILITATION LLC
Clinic/Center (Rehabilitation)
1640 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Gloucester County (856) 252-7210
STACEY JONES OT
Occupational Therapist
1640 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Gloucester County (856) 740-4444
WSSH POWERBACK REHABILITATION SERVICES, LLC
Clinic/Center (Rehabilitation)
1640 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Gloucester County (323) 928-9445
FABIOLA GARCIA SOSA
Occupational Therapist
1640 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Gloucester County (856) 244-7771
MICHELLE LYNN JUCKETT APN
Nurse Practitioner (Gerontology)
1640 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Gloucester County (973) 661-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juniper Village At Williamstown, LLC's NPI number?

The NPI number for Juniper Village At Williamstown, LLC is 1124146030. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Juniper Village At Williamstown.

Where is Juniper Village At Williamstown, LLC located?

Juniper Village At Williamstown, LLC is located at 1640 S Black Horse Pike, Williamstown, NJ 08094. The listed phone number is (856) 740-4444.

What is Juniper Village At Williamstown, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Juniper Village At Williamstown, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Juniper Village At Williamstown, LLC was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.