1427302280 NPI number — RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC

Table of content: (NPI 1427302280)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427302280 NPI number — RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427302280
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
260 CHAMBERSBRIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08723-2809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-262-2255
Provider Business Mailing Address Fax Number:
732-262-3332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4712 CHESTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19143-3513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-262-2255
Provider Business Practice Location Address Fax Number:
732-262-3332
Provider Enumeration Date:
11/01/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GELLEY
Authorized Official First Name:
MEIR
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
732-262-2255

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  420302 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com