Provider Demographics
NPI:1346628245
Name:RHEEMS OPERATOR, LLC
Entity Type:Organization
Organization Name:RHEEMS OPERATOR, LLC
Other - Org Name:ELIZABETHTOWN NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NETZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-650-0219
Mailing Address - Street 1:141 HEISEY AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-8107
Mailing Address - Country:US
Mailing Address - Phone:717-367-1831
Mailing Address - Fax:
Practice Address - Street 1:141 HEISEY AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-8107
Practice Address - Country:US
Practice Address - Phone:717-367-1831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility