Provider Demographics
NPI:1437405289
Name:NJ HEALTHCARE FACILITIES MANAGEMENT LLC
Entity Type:Organization
Organization Name:NJ HEALTHCARE FACILITIES MANAGEMENT LLC
Other - Org Name:ADVANCED CARE CENTER AT LAKEVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOWERSOX
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:973-616-5810
Mailing Address - Street 1:130 TERHUNE DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7104
Mailing Address - Country:US
Mailing Address - Phone:973-839-4500
Mailing Address - Fax:973-616-2768
Practice Address - Street 1:130 TERHUNE DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7104
Practice Address - Country:US
Practice Address - Phone:973-839-4500
Practice Address - Fax:973-616-2768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility