Broadway House For Continuing Care

LBN: Newark Aids Consortium, Inc
Broadway House For Continuing Care is an health care organization with primary practice located at 298 Broadway , Newark NJ 07104-4003. 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. Newark Aids Consortium, Inc can be contacted via phone (973) 268-9797, or through Gonzalez, James R. via phone (973) 268-9797.

Contact Information

Primary practice address
298 Broadway Newark NJ 07104-4003
Phone: (973) 268-9797
Fax: (973) 483-0418
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, James R.
Phone: (973) 268-9797

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060738 New Jersey

Profile Details

NPI number 1538168885
LBN Legal business name Newark Aids Consortium, Inc
DBA Doing business as Broadway House For Continuing Care
Authorized official Gonzalez, James R.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 6th, 2017 - about 7 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 1538168885 NPPES
New Jersey MEDICAID 6400400

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