Seacrest Village, Inc

LBN: Seacrest Village, Inc
Seacrest Village, Inc is an health care organization with primary practice located at 1001 Center St , Little Egg Harbor Twp NJ 08087-1347. 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. Seacrest Village, Inc can be contacted via phone (609) 296-9292, or through Holloway, Brian T. via phone (609) 296-9292.

Contact Information

Primary practice address
1001 Center St Little Egg Harbor Twp NJ 08087-1347
Fax: (609) 296-0508
Website:
Authorized official contact:
Name: Holloway, Brian T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NJ61522 New Jersey

Profile Details

NPI number 1144217662
LBN Legal business name Seacrest Village, Inc
DBA Doing business as
Authorized official Holloway, Brian T.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
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 1144217662 NPPES
New Jersey MEDICAID 0077801
New Jersey MEDICAID 4494717
New Jersey MEDICAID 4494709

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