Willow Creek Rehabilitation Care Center

LBN: 1165 Easton Avenue Operations Llc
Willow Creek Rehabilitation Care Center is an health care organization with primary practice located at 1165 Easton Ave , Somerset NJ 08873-1613. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. 1165 Easton Avenue Operations Llc can be contacted via phone (732) 246-4100, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
1165 Easton Ave Somerset NJ 08873-1613
Fax:
Website:
Authorized official contact:
Name: Berg, Michael T

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 00000 New Jersey

Profile Details

NPI number 1528577293
LBN Legal business name 1165 Easton Avenue Operations Llc
DBA Doing business as Willow Creek Rehabilitation Care Center
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528577293 NPPES
New Jersey Other 00000 NON MEDICARE

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