Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mira Vie at Fanwood Opco LLC

Organization Assisted Living Facility · NPI 1952159865

Mira Vie at Fanwood Opco LLC is an Assisted Living Facility in Fanwood, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

295 S Ave
Fanwood, NJ 07023-1357
Phone: (908) 654-5200
Fax: (844) 808-0071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1952159865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Billie Abreu — Director Of Admin · (813) 330-2660
Other names Mira Vie At Fanwood
NPI enumeratedMay 7, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address4301 Anchor Plaza Pkwy Ste 300, Tampa, FL 33634-7521

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