1165 Easton Avenue Operations LLC
Skilled Nursing Facility in Somerset, New Jersey
1568839710- Practice location
- 1165 Easton Ave, Somerset, NJ 08873-1613
- Phone
- 732-246-4100
- Fax
- 732-246-4101
- Last updated
- April 12, 2017
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 1568839710. 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 and via fax at 732-246-4101.
Provider Profile Details
- NPI Number
- 1568839710
- Provider Name
- 1165 Easton Avenue Operations LLC
- Provider Entity Type
- Organization
- Address
- 1165 Easton Ave, Somerset, NJ 08873-1613
- Phone Number
- 732-246-4100
- Fax Number
- 732-246-4101
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Summit Care LLC
- Authorized Official
- Michael T Berg · Assistant Secretary · 505-468-4742
- Other Names
- Willow Creek Rehabilitation And Care Center (Doing Business As)
- Provider Enumeration Date
- August 24, 2015
- Last Update Date
- April 12, 2017
- 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
- Fax Number
- 732-246-4101
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
- Fax Number
- 732-246-4101
License Information
- Taxonomy (1)
- Nursing Facility/Intermediate Care Facility · 313M00000X
- License State (2)
- NJ
- Taxonomy (2)
- 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 1165 Easton Avenue Operations LLC?
The NPI number of 1165 Easton Avenue Operations LLC is 1568839710. It was assigned on August 24, 2015 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 Skilled Nursing Facility (code 314000000X).
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) or 732-246-4101 (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 1568839710 directly on the NPPES registry website.