Country Manor

LBN: Center State Health Group Inc.
Country Manor is an health care organization with primary practice located at 16 Whitesville Rd , Toms River NJ 08753-4107. 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. Center State Health Group Inc. can be contacted via phone (732) 736-5106, or through Sweeney, David via phone (908) 851-8355.

Contact Information

Primary practice address
16 Whitesville Rd Toms River NJ 08753-4107
Fax: (732) 286-3165
Website:
Authorized official contact:
Name: Sweeney, David

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 061503 New Jersey

Profile Details

NPI number 1396779245
LBN Legal business name Center State Health Group Inc.
DBA Doing business as Country Manor
Authorized official Sweeney, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 14th, 2008 - about 17 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 1396779245 NPPES
New Jersey MEDICAID 4494407
New Jersey MEDICAID 4494504

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