Provider Demographics
NPI:1457453946
Name:GARDENS AT MONROE HEALTHCARE & REHABILITATION LLC
Entity Type:Organization
Organization Name:GARDENS AT MONROE HEALTHCARE & REHABILITATION LLC
Other - Org Name:THE GARDENS AT MONROE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:YUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-918-9021
Mailing Address - Street 1:189 APPLEGARTH RD
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5961
Mailing Address - Country:US
Mailing Address - Phone:609-448-7036
Mailing Address - Fax:
Practice Address - Street 1:189 APPLEGARTH RD
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5961
Practice Address - Country:US
Practice Address - Phone:609-448-7036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061109314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4485203Medicaid
NJ5695860001Medicare NSC
NJ315336Medicare ID - Type UnspecifiedMEDICARE