Park Crescent Healthcare & Rehabilitation Center

LBN: Parkway Manor Health Center, Llc
Park Crescent Healthcare & Rehabilitation Center is an health care organization with primary practice located at 480 N Walnut St , East Orange NJ 07017-4029. 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. Parkway Manor Health Center, Llc can be contacted via phone (973) 674-2700, or through Frost, Moshe via phone (732) 364-2672.

Contact Information

Primary practice address
480 N Walnut St East Orange NJ 07017-4029
Phone: (973) 674-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frost, Moshe
Phone: (732) 364-2672

Health care specialties

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

Profile Details

NPI number 1104061472
LBN Legal business name Parkway Manor Health Center, Llc
DBA Doing business as Park Crescent Healthcare & Rehabilitation Center
Authorized official Frost, Moshe
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2008
Last updated Mar 16th, 2009 - about 15 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 1104061472 NPPES
New Jersey MEDICAID 4475704

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