Burnt Tavern Convalescent Center
LBN: Burnt Tavern Rehabilitation And Health Care Ctr
Burnt Tavern Convalescent Center is an health care organization with primary practice located at 1049 Burnt Tavern Rd , Brick NJ 08724-1967. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Burnt Tavern Rehabilitation And Health Care Ctr can be contacted via phone (732) 840-3700, or through Kreil, Douglas via phone (732) 840-3700.
Contact Information
Primary practice address
1049 Burnt Tavern Rd
Brick NJ 08724-1967
Phone: (732) 840-3700
Fax: (832) 840-0572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ZBBGDW | New Jersey |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 061518 | New Jersey |
Profile Details
| NPI number | 1851348627 |
|---|---|
| LBN Legal business name | Burnt Tavern Rehabilitation And Health Care Ctr |
| DBA Doing business as | Burnt Tavern Convalescent Center |
| Authorized official | Kreil, Douglas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 11th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851348627 | NPPES |
| New Jersey | MEDICAID | 4494610 | |
| New Jersey | MEDICAID | 4494628 | |
| New Jersey | MEDICAID | 4494601 |
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