Lincoln Park Renaissance

LBN: 521 Pine Brook Operating, Llc
Lincoln Park Renaissance is an health care organization with primary practice located at 521 Pine Brook Rd , Lincoln Park NJ 07035-1801. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 521 Pine Brook Operating, Llc can be contacted via phone (973) 696-3300, or through Gros, Charles-Edouard via phone (973) 696-3300.

Contact Information

Primary practice address
521 Pine Brook Rd Lincoln Park NJ 07035-1801
Phone: (973) 696-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gros, Charles-Edouard
Phone: (973) 696-3300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 061408 New Jersey

Profile Details

NPI number 1306182159
LBN Legal business name 521 Pine Brook Operating, Llc
DBA Doing business as Lincoln Park Renaissance
Authorized official Gros, Charles-Edouard
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 12 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 1306182159 NPPES
New Jersey MEDICAID 4491904
New Jersey MEDICAID 01216893

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