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Contact Information

301 UNION STREET, LLC
301 UNION STREET
HACKENSACK, NJ07601
 Phone: 201-487-4900
 Fax: 201-487-1741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for 301 UNION STREET, LLC

NPI # 1174522833
LBN Legal business name 301 UNION STREET, LLC
Authorized official A. LUGO - (EXECUTIVE VP & GENERAL COUSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 08/13/2015 - About 11 years ago
Identifiers
NJ License # 060205
NJ License # 4464516
NJ Medicaid 4464508
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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