1760436828 NPI number — PLYMOUTH HEALTHCARE ASSOCIATES, LLC

Table of content: (NPI 1760436828)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760436828 NPI number — PLYMOUTH HEALTHCARE ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLYMOUTH HEALTHCARE ASSOCIATES, 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:
MEADOW SPRINGS HEALTHCARE AND REHABLITATION CENTER
Provider Other Organization Name Type Code:
3
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:
1760436828
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
51 CRAGWOOD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH PLAINFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07080-2405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-315-3400
Provider Business Mailing Address Fax Number:
908-226-5177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
845 GERMANTOWN PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH MEETING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19462-2566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-279-7300
Provider Business Practice Location Address Fax Number:
610-279-2061
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KLEIN
Authorized Official First Name:
HESHY
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
908-315-3400

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , 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)





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