Provider Demographics
NPI:1407274285
Name:3 HAMILTON HEALTH PLACE OPERATING COMPANY, LLC
Entity Type:Organization
Organization Name:3 HAMILTON HEALTH PLACE OPERATING COMPANY, LLC
Other - Org Name:ATRIUM POST ACUTE CARE OF HAMILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-953-0546
Mailing Address - Street 1:3 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-2555
Mailing Address - Fax:609-631-2515
Practice Address - Street 1:3 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-2555
Practice Address - Fax:609-631-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ516767Medicaid