NPI 1164566410

The Baptist Home Society of Nj

Organisation Assisted Living Facility West Orange, NJ

Practice location

Address: 707 Eagle Rock Ave, West Orange, NJ 07052-2180
Phone: (973) 669-0011
Fax: (973) 669-9711

Authorised official

Name: Douglas a Struyk
Title: Ceo
Phone: (973) 669-0011

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in New Jersey →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 30A008 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1164566410
Entity type: Organization
NPI issued: 19 Feb 2007
Record last updated: 18 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.