Brookdale Emerson

LBN: Brea Emeritus
Brookdale Emerson is an health care organization with primary practice located at 590 Old Hook Rd , Emerson NJ 07630-1378. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Brea Emeritus can be contacted via phone (201) 986-9009, or through Ohlendorf, Mark via phone (414) 918-5403.

Contact Information

Primary practice address
590 Old Hook Rd Emerson NJ 07630-1378
Phone: (201) 986-9009
Fax: (201) 986-9777
Website:
Map and Directions
Authorized official contact:
Name: Ohlendorf, Mark
Phone: (414) 918-5403

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 05A004 New Jersey

Profile Details

NPI number 1215146832
LBN Legal business name Brea Emeritus
DBA Doing business as Brookdale Emerson
Authorized official Ohlendorf, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated May 14th, 2015 - about 9 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 1215146832 NPPES
New Jersey MEDICAID 0074578

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