Willow Creek Rehabilitation And Care Center

LBN: Cpl (Willow Creek) Llc
Willow Creek Rehabilitation And Care Center is an health care organization with primary practice located at 1165 Easton Avenue , Somerset NJ 08873-1613. 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. Cpl (Willow Creek) Llc can be contacted via phone (732) 246-4100, or through Scillia, Carole M via phone (203) 608-6134.

Contact Information

Primary practice address
1165 Easton Avenue Somerset NJ 08873-1613
Fax: (732) 246-3926
Website:
Authorized official contact:
Name: Scillia, Carole M

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 061808 New Jersey

Profile Details

NPI number 1134158918
LBN Legal business name Cpl (Willow Creek) Llc
DBA Doing business as Willow Creek Rehabilitation And Care Center
Authorized official Scillia, Carole M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Jul 24th, 2013 - 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 1134158918 NPPES
New Jersey MEDICAID 4498607
New Jersey MEDICAID 4499301

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