Provider Demographics
NPI:1043498421
Name:SAINT CLARES HOSPITAL INC
Entity Type:Organization
Organization Name:SAINT CLARES HOSPITAL INC
Other - Org Name:THE DWELLING PLACE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER OF APPLICATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SZWARC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-983-1506
Mailing Address - Street 1:PO BOX 35577
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07193-5577
Mailing Address - Country:US
Mailing Address - Phone:973-983-1702
Mailing Address - Fax:973-983-1530
Practice Address - Street 1:400 WEST BLACKWELL STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-989-3000
Practice Address - Fax:973-983-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4492501Medicaid
NJ315019Medicare Oscar/Certification