Innova Health And Rehab At Mt. Laurel

LBN: Church Health Care, Llc
Innova Health And Rehab At Mt. Laurel is an health care organization with primary practice located at 3718 Church Rd , Mount Laurel NJ 08054-1104. 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. Church Health Care, Llc can be contacted via phone (856) 235-7100, or through Mancuso, Joseph F via phone (856) 912-8250.

Contact Information

Primary practice address
3718 Church Rd Mount Laurel NJ 08054-1104
Phone: (856) 235-7100
Fax: (856) 235-6813
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Joseph F
Phone: (856) 912-8250

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060311 New Jersey

Profile Details

NPI number 1699885129
LBN Legal business name Church Health Care, Llc
DBA Doing business as Innova Health And Rehab At Mt. Laurel
Authorized official Mancuso, Joseph F
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1699885129 NPPES
New Jersey MEDICAID 4465903

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