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MIRA VIE AT FANWOOD
NPI 1952159865
Assisted Living Facility in Fanwood, NJ

Active since May 07, 2024
295 SOUTH AVE, FANWOOD, NJ 07023(908) 654-5200(844) 808-0071 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, May 7, 2024 (2 updates tracked since 2024).

About Mira Vie At Fanwood NPPES

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

MIRA VIE AT FANWOOD (NPI 1952159865) is a healthcare organization registered as an assisted living facility in Fanwood, New Jersey and active in the NPI registry since May 2024. The organization lists Billie Abreu, Director Of Admin, as its authorized official.

NPPES Registry Identity

NPI1952159865
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIRA VIE AT FANWOOD OPCO LLC
Location Address295 SOUTH AVEFanwood, NJ 07023-1357
Mailing Address4301 Anchor Plaza Pkwy Ste 300Tampa, FL 33634-7521 · (813) 330-2660 · Fax (844) 808-0071
Phone(908) 654-5200
Fax(844) 808-0071
Organization SubpartNo
Authorized OfficialBillie AbreuDirector Of Admin · (813) 330-2660
Enumeration DateMay 7, 2024
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1952159865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
295 SOUTH AVE, Fanwood, NJ 07023
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Other Names 1

Doing Business AsMira Vie At Fanwood

Other Providers at the Same Location NPPES 2

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

CA FANWOOD LLC
Assisted Living Facility
295 SOUTH AVE
FANWOOD, NJ 07023
Union County (908) 654-5200
FANWOOD SENIOR CARE, LLC
Assisted Living Facility
295 SOUTH AVE
FANWOOD, NJ 07023
Union County (908) 654-5200

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 Mira Vie At Fanwood Opco LLC's NPI number?

The NPI number for Mira Vie At Fanwood Opco LLC is 1952159865. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as Mira Vie At Fanwood.

Where is Mira Vie At Fanwood Opco LLC located?

Mira Vie At Fanwood Opco LLC is located at 295 South Ave, Fanwood, NJ 07023. The listed phone number is (908) 654-5200.

What is Mira Vie At Fanwood Opco 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 Mira Vie At Fanwood Opco LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.