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Contact Information

600 KINDERKAMACK ROAD OPERATING COMPANY, LLC
600 KINDERKAMACK ROAD
ORADELL, NJ07649
 Phone: 201-967-0002
 Fax: 201-967-8774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 600 KINDERKAMACK ROAD OPERATING COMPANY, LLC

NPI Number 1760481444
LBN Legal business name 600 KINDERKAMACK ROAD OPERATING COMPANY, LLC
Authorized official A. LUGO - (EXECUTIVE VP & GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 08/13/2015 - About 11 years ago
Identifiers
NJ License # 060234
NJ Medicaid 6419704
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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