475 Jack Martin Boulevard Operations LLC
Skilled Nursing Facility in Brick, New Jersey
1023493236- Practice location
- 475 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone
- 732-458-6600
- Fax
- 732-458-6601
- Last updated
- January 5, 2016
475 Jack Martin Boulevard Operations LLC is a healthcare organization based in Brick, NJ. 475 Jack Martin Boulevard Operations LLC practices in Brick, NJ. The NPI Number for 475 Jack Martin Boulevard Operations LLC is 1023493236. The current practice location address for 475 Jack Martin Boulevard Operations LLC is 475 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-458-6600 and via fax at 732-458-6601.
Provider Profile Details
- NPI Number
- 1023493236
- Provider Name
- 475 Jack Martin Boulevard Operations LLC
- Provider Entity Type
- Organization
- Address
- 475 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone Number
- 732-458-6600
- Fax Number
- 732-458-6601
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Genesis Nj Holdings LLC
- Authorized Official
- Michael T Berg · Assistant Secretary · 505-468-4742
- Other Names
- Laurelton Village Care Center (Doing Business As)
- Provider Enumeration Date
- July 29, 2015
- Last Update Date
- January 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 475 Jack Martin Blvd
Brick, NJ 08724-7732 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7732
- Phone Number
- 732-458-6600
- Fax Number
- 732-458-6601
Provider Business Mailing Address Details
- Address
- 475 Jack Martin Blvd
Brick, NJ 08724-7732 - City
- Brick
- State
- NJ
- Zip
- 08724-7732
- Phone Number
- 732-458-6600
- Fax Number
- 732-458-6601
License Information
- License State
- NJ
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 475 Jack Martin Boulevard Operations LLC?
The NPI number of 475 Jack Martin Boulevard Operations LLC is 1023493236. It was assigned on July 29, 2015 and is currently active in the NPPES registry.
What is the specialty of 475 Jack Martin Boulevard Operations LLC?
475 Jack Martin Boulevard Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 475 Jack Martin Boulevard Operations LLC practice?
The practice location is 475 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-458-6600 (phone) or 732-458-6601 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023493236 directly on the NPPES registry website.