Provider Demographics
NPI:1205097326
Name:THE ATRIUM AT HAMILTON PARK
Entity type:Organization
Organization Name:THE ATRIUM AT HAMILTON PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-653-8800
Mailing Address - Street 1:330 9TH ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1561
Mailing Address - Country:US
Mailing Address - Phone:201-653-8800
Mailing Address - Fax:201-239-8502
Practice Address - Street 1:330 9TH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1561
Practice Address - Country:US
Practice Address - Phone:201-653-8800
Practice Address - Fax:201-239-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7U0NFD310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility