Active NPIOrganization

1361 Route 72 West Operations LLC

Skilled Nursing Facility in Manahawkin, New Jersey

NPI Number1366626665
Practice location
1361 Route 72 W, Manahawkin, NJ 08050-2417
Fax
609-978-1635
Last updated
June 26, 2025

1361 Route 72 West Operations LLC is a healthcare organization based in Manahawkin, NJ. 1361 Route 72 West Operations LLC practices in Manahawkin, NJ. The NPI Number for 1361 Route 72 West Operations LLC is 1366626665 and holds a License No. 080413 (NJ). The current practice location address for 1361 Route 72 West Operations LLC is 1361 Route 72 W, Manahawkin, NJ 08050-2417 and can be reached out via phone at 609-978-0600 and via fax at 609-978-1635.

Provider Profile Details

NPI Number
1366626665
Provider Name
1361 Route 72 West Operations LLC
Provider Entity Type
Organization
Address
1361 Route 72 W, Manahawkin, NJ 08050-2417
Phone Number
609-978-0600
Fax Number
609-978-1635
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Michael T Berg · Secretary · 610-444-6350
Other Names
Southern Ocean Center (Doing Business As)
Provider Enumeration Date
December 21, 2007
Last Update Date
June 26, 2025
Certification Date
June 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1361 Route 72 W
Manahawkin, NJ 08050-2417
Zip
08050-2417
Phone Number
609-978-0600
Fax Number
609-978-1635
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
101 E State St
Kennett Square, PA 19348-3109
City
Kennett Square
State
PA
Zip
19348-3109
Phone Number
610-925-4436
Fax Number
610-925-4351

License Information

License Number
080413
License State
NJ
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Skilled Nursing Facility providers near Manahawkin, NJ

View all Skilled Nursing Facility providers in Manahawkin →

Frequently Asked Questions

What is the NPI number of 1361 Route 72 West Operations LLC?

The NPI number of 1361 Route 72 West Operations LLC is 1366626665. It was assigned on December 21, 2007 and is currently active in the NPPES registry.

What is the specialty of 1361 Route 72 West Operations LLC?

1361 Route 72 West Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 080413.

Where does 1361 Route 72 West Operations LLC practice?

The practice location is 1361 Route 72 W, Manahawkin, NJ 08050-2417. The office can be reached at 609-978-0600 (phone) or 609-978-1635 (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 1366626665 directly on the NPPES registry website.

Browse related providers