Provider Demographics
NPI:1467459651
Name:TUSCHAK-JACOBSON, INC.
Entity Type:Organization
Organization Name:TUSCHAK-JACOBSON, INC.
Other - Org Name:FRANKLIN CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PINELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-489-7400
Mailing Address - Street 1:3371 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1312
Mailing Address - Country:US
Mailing Address - Phone:732-821-8000
Mailing Address - Fax:732-821-9253
Practice Address - Street 1:3371 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:NJ
Practice Address - Zip Code:08823-1312
Practice Address - Country:US
Practice Address - Phone:732-821-8000
Practice Address - Fax:732-821-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061804314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ18130OtherNJ
NJ4498909Medicaid
NJ4498909Medicaid