Provider Demographics
NPI:1225487028
Name:BHEIGHTS ASSOCIATES LLC
Entity Type:Organization
Organization Name:BHEIGHTS ASSOCIATES LLC
Other - Org Name:AUTUMN LAKE HEALTHCARE AT BERKELEY HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-358-6883
Mailing Address - Street 1:4260 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3351
Mailing Address - Country:US
Mailing Address - Phone:732-358-6883
Mailing Address - Fax:
Practice Address - Street 1:35 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1508
Practice Address - Country:US
Practice Address - Phone:908-464-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ062016314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ062016OtherLICENSE NUMBER