Provider Demographics
NPI:1083967335
Name:HCRI EDISON SUBTENANT, LLC
Entity Type:Organization
Organization Name:HCRI EDISON SUBTENANT, LLC
Other - Org Name:BRIGHTON GARDENS OF EDISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR REAL ESTATE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:W
Authorized Official - Last Name:CARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-744-8815
Mailing Address - Street 1:4500 DORR ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-4040
Mailing Address - Country:US
Mailing Address - Phone:419-247-2800
Mailing Address - Fax:419-247-2826
Practice Address - Street 1:1801 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2772
Practice Address - Country:US
Practice Address - Phone:732-767-1031
Practice Address - Fax:732-767-0835
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CARE REIT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-24
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ315351Medicare Oscar/Certification