Active NPIOrganization

Lighthouse Clover LLC

Skilled Nursing Facility in Columbia, New Jersey

NPI Number1558969105
Practice location
28 Washington St, Columbia, NJ 07832-2324
Fax
—
Last updated
October 15, 2020

Lighthouse Clover LLC is a healthcare organization based in Columbia, NJ. Lighthouse Clover LLC practices in Columbia, NJ. The NPI Number for Lighthouse Clover LLC is 1558969105. The current practice location address for Lighthouse Clover LLC is 28 Washington St, Columbia, NJ 07832-2324 and can be reached out via phone at 908-496-4307.

Provider Profile Details

NPI Number
1558969105
Provider Name
Lighthouse Clover LLC
Provider Entity Type
Organization
Address
28 Washington St, Columbia, NJ 07832-2324
Phone Number
908-496-4307
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Dov Lebovic, MSM LNHA · Member · 516-680-7687
Other Names
Clover Rest Home (Doing Business As)
Provider Enumeration Date
October 15, 2020
Last Update Date
October 15, 2020
Certification Date
October 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Washington St
Columbia, NJ 07832-2324
Zip
07832-2324
Phone Number
908-496-4307
Columbia, NJ 07832Get directions →

Provider Business Mailing Address Details

Address
180 Harborview N
Lawrence, NY 11559-1904
City
Lawrence
State
NY
Zip
11559-1904
Phone Number
516-680-7687

License Information

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 Columbia, NJ

View all Skilled Nursing Facility providers in Columbia →

Frequently Asked Questions

What is the NPI number of Lighthouse Clover LLC?

The NPI number of Lighthouse Clover LLC is 1558969105. It was assigned on October 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Lighthouse Clover LLC?

Lighthouse Clover LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Lighthouse Clover LLC practice?

The practice location is 28 Washington St, Columbia, NJ 07832-2324. The office can be reached at 908-496-4307 (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 1558969105 directly on the NPPES registry website.

Browse related providers