1316232812 NPI number — GOLDEN REHABILITATION AND NURSING CENTER, LLC

Table of content: MARIA NICOLASA TOSCANO LIMON LMFT (NPI 1639945637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316232812 NPI number — GOLDEN REHABILITATION AND NURSING CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOLDEN REHABILITATION AND NURSING 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:
6
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:
1316232812
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2477 HIGHWAY 516
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
OLD BRIDGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08857-4603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-358-6883
Provider Business Mailing Address Fax Number:
732-707-3853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
438 SALEM WOODSTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08079-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-935-6677
Provider Business Practice Location Address Fax Number:
856-935-0457
Provider Enumeration Date:
06/13/2011

Additional Information

Authorized Official

Authorized Official Last Name:
STERN
Authorized Official First Name:
ARYEH
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER OF LLC
Authorized Official Telephone Number:
732-358-6883

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  061703 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com