Pope John Paul Ii Pavilion

LBN: South Center Street Nursing Llc
Pope John Paul Ii Pavilion is an health care organization with primary practice located at 135 S Center St , Orange NJ 07050-3522. 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. South Center Street Nursing Llc can be contacted via phone (973) 266-3200, or through Stern, Sam via phone (718) 567-0400.

Contact Information

Primary practice address
135 S Center St Orange NJ 07050-3522
Phone: (973) 266-3200
Fax: (973) 266-3302
Website:
Map and Directions
Authorized official contact:
Name: Stern, Sam
Phone: (718) 567-0400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 062209 New Jersey

Profile Details

NPI number 1245272723
LBN Legal business name South Center Street Nursing Llc
DBA Doing business as Pope John Paul Ii Pavilion
Authorized official Stern, Sam
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 16th, 2015 - about 9 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 1245272723 NPPES
New Jersey MEDICAID 6799302
New Jersey MEDICAID 6799311

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