Cpl Park Manor LLC
Skilled Nursing Facility in Bloomfield, New Jersey
1073594511- Practice location
- 23 Park Place, Bloomfield, NJ 07003-3513
- Phone
- 973-743-7772
- Fax
- 973-743-8053
- Last updated
- July 27, 2011
Cpl Park Manor LLC is a healthcare organization based in Bloomfield, NJ. Cpl Park Manor LLC practices in Bloomfield, NJ. The NPI Number for Cpl Park Manor LLC is 1073594511 and holds a License No. 060716 (NJ). The current practice location address for Cpl Park Manor LLC is 23 Park Place, Bloomfield, NJ 07003-3513 and can be reached out via phone at 973-743-7772 and via fax at 973-743-8053.
Provider Profile Details
- NPI Number
- 1073594511
- Provider Name
- Cpl Park Manor LLC
- Provider Entity Type
- Organization
- Address
- 23 Park Place, Bloomfield, NJ 07003-3513
- Phone Number
- 973-743-7772
- Fax Number
- 973-743-8053
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Carole M Scillia, LLC MANAGER · Office Manager · 203-608-6100
- Other Names
- Park Manor Nursing And Rehabilitation Center (Doing Business As)
- Provider Enumeration Date
- November 10, 2005
- Last Update Date
- July 27, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Park Place
Bloomfield, NJ 07003-3513 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3513
- Phone Number
- 973-743-7772
- Fax Number
- 973-743-8053
Provider Business Mailing Address Details
- Address
- 538 Preston Avenue
Suite 270
Meriden, CT 06450-4851 - City
- Meriden
- State
- CT
- Zip
- 06450-4851
- Phone Number
- 203-608-6100
- Fax Number
- 203-639-3574
License Information
- License Number
- 060716
- 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 Cpl Park Manor LLC?
The NPI number of Cpl Park Manor LLC is 1073594511. It was assigned on November 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Cpl Park Manor LLC?
Cpl Park Manor LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 060716.
Where does Cpl Park Manor LLC practice?
The practice location is 23 Park Place, Bloomfield, NJ 07003-3513. The office can be reached at 973-743-7772 (phone) or 973-743-8053 (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 1073594511 directly on the NPPES registry website.