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Contact Information

1165 EASTON AVENUE OPERATIONS LLC
1165 EASTON AVE
SOMERSET, NJ08873-1613
 Phone: 732-246-4100
 Fax: 732-246-4101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for 1165 EASTON AVENUE OPERATIONS LLC

NPI Number 1568839710
LBN Legal business name 1165 EASTON AVENUE OPERATIONS LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/24/2015
Last updated 04/12/2017 - About 9 years ago
Identifiers n/a
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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