1165 Easton Avenue Operations LLC
Nursing Facility/Intermediate Care Facility in Somerset, New Jersey
1528577293- Practice location
- 1165 Easton Ave, Somerset, NJ 08873-1613
- Phone
- 732-246-4100
- Fax
- —
- Last updated
- July 21, 2022
1165 Easton Avenue Operations LLC is a healthcare organization based in Somerset, NJ. 1165 Easton Avenue Operations LLC practices in Somerset, NJ. The NPI Number for 1165 Easton Avenue Operations LLC is 1528577293 and holds a License No. 00000 (NJ). The current practice location address for 1165 Easton Avenue Operations LLC is 1165 Easton Ave, Somerset, NJ 08873-1613 and can be reached out via phone at 732-246-4100.
Provider Profile Details
- NPI Number
- 1528577293
- Provider Name
- 1165 Easton Avenue Operations LLC
- Provider Entity Type
- Organization
- Address
- 1165 Easton Ave, Somerset, NJ 08873-1613
- Phone Number
- 732-246-4100
- Primary Taxonomy
- Nursing Facility/Intermediate Care Facility · 313M00000X
- Organization Subpart
- No
- Authorized Official
- Michael T Berg · Vp Gen Counsel Asst Secy · 505-468-4742
- Other Names
- Willow Creek Rehabilitation Care Center (Doing Business As)
- Provider Enumeration Date
- September 26, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1165 Easton Ave
Somerset, NJ 08873-1613 - City
- Somerset
- State
- New Jersey
- Zip
- 08873-1613
- Phone Number
- 732-246-4100
Provider Business Mailing Address Details
- Address
- 1165 Easton Ave
Somerset, NJ 08873-1613 - City
- Somerset
- State
- NJ
- Zip
- 08873-1613
- Phone Number
- 732-246-4100
License Information
- License Number
- 00000
- License State
- NJ
- Taxonomy
- Nursing Facility/Intermediate Care Facility · 313M00000X · 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 1165 Easton Avenue Operations LLC?
The NPI number of 1165 Easton Avenue Operations LLC is 1528577293. It was assigned on September 26, 2017 and is currently active in the NPPES registry.
What is the specialty of 1165 Easton Avenue Operations LLC?
1165 Easton Avenue Operations LLC is registered under the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X), licensed in NJ under license number 00000.
Where does 1165 Easton Avenue Operations LLC practice?
The practice location is 1165 Easton Ave, Somerset, NJ 08873-1613. The office can be reached at 732-246-4100 (phone).
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 1528577293 directly on the NPPES registry website.