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VAN DYK AT BALD EAGLE COMMONS, LLC
NPI 1154454023
Assisted Living Facility in West Milford, NJ

Active since March 13, 2007
197 CAHILL CROSS RD, WEST MILFORD, NJ 07480(201) 689-7979(973) 304-2046 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Van Dyk At Bald Eagle Commons, Llc NPPES

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

VAN DYK AT BALD EAGLE COMMONS, LLC (NPI 1154454023) is a healthcare organization registered as an assisted living facility in West Milford, New Jersey and active in the NPI registry since March 2007. The organization lists Charles H Shotmeyer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1154454023
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVAN DYK AT BALD EAGLE COMMONS, LLC
Location Address197 CAHILL CROSS RDWest Milford, NJ 07480-1947
Mailing Address644 Goffle RdHawthorne, NJ 07506-3452 · (201) 689-7979 · Fax (973) 304-2046
Phone(201) 689-7979
Fax(973) 304-2046
Organization SubpartNo
Authorized OfficialCharles H ShotmeyerChief Financial Officer · (201) 689-7979
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154454023 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 · 70A000
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.
197 CAHILL CROSS RD, West Milford, NJ 07480
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Other Identifiers 1

Medicaid8379009NJ

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.

BALD EAGLE SENIOR LIVING
Assisted Living Facility
197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
Passaic County (973) 728-6000
ALISON GERLITZ
Occupational Therapy Assistant
197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
Passaic County (973) 506-7730
JENNIFER MELISSA BUNKERS OTR/L
Occupational Therapist
197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
Passaic County (973) 506-7730
MIRA VIE AT WEST MILFORD OPCO LLC
Assisted Living Facility
197 CAHILL CROSS RD
WEST MILFORD, NJ 07480
Passaic County (973) 728-6000
MR. MARTIN THYVALAPPIL PHARMACIST
Pharmacist
197 CAHILL CROSS RD, 316
WEST MILFORD, NJ 07480
Passaic County (973) 728-4600

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 Van Dyk At Bald Eagle Commons, LLC's NPI number?

The NPI number for Van Dyk At Bald Eagle Commons, LLC is 1154454023. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Van Dyk At Bald Eagle Commons, LLC located?

Van Dyk At Bald Eagle Commons, LLC is located at 197 Cahill Cross Rd, West Milford, NJ 07480. The listed phone number is (201) 689-7979.

What is Van Dyk At Bald Eagle Commons, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Van Dyk At Bald Eagle Commons, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.