South Jersey Extended Care

LBN: Hw Weidco Ren Llc
South Jersey Extended Care is an health care organization with primary practice located at 99 Manheim Ave , Bridgeton NJ 08302-2114. 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. Hw Weidco Ren Llc can be contacted via phone (856) 455-2100, or through Weisz, Mark via phone (201) 488-6789.

Contact Information

Primary practice address
99 Manheim Ave Bridgeton NJ 08302-2114
Phone: (856) 455-2100
Fax: (856) 455-0960
Website:
Map and Directions
Authorized official contact:
Name: Weisz, Mark
Phone: (201) 488-6789

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060602 New Jersey

Profile Details

NPI number 1720096035
LBN Legal business name Hw Weidco Ren Llc
DBA Doing business as South Jersey Extended Care
Authorized official Weisz, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Dec 12th, 2008 - about 16 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 1720096035 NPPES
New Jersey MEDICAID 4473701

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