Provider Demographics
NPI:1245244177
Name:ROSEEN REALTY CORP
Entity Type:Organization
Organization Name:ROSEEN REALTY CORP
Other - Org Name:ARNOLD WALTER NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BENZION
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHACHTER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-787-6300
Mailing Address - Street 1:622 SOUTH LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2681
Mailing Address - Country:US
Mailing Address - Phone:732-787-6300
Mailing Address - Fax:732-787-3036
Practice Address - Street 1:622 SOUTH LAUREL AVE
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2681
Practice Address - Country:US
Practice Address - Phone:732-787-6300
Practice Address - Fax:732-787-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061301314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ13640Medicaid
NJ315119Medicare ID - Type Unspecified