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Contact Information

REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC
65 N SUSSEX ST
DOVER, NJ07801
 Phone: 973-361-5200
 Fax: 973-361-0375
 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 REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC

NPI Number 1699802835
LBN Legal business name REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC
Authorized official AARON STEFANSKY - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 09/29/2009 - About 17 years ago
Identifiers
NJ License # 061423
NJ License # 603300
NJ Medicaid 4491807
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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