Provider Demographics
NPI:1477594257
Name:HEALTH RESOURCES OF EATONTOWN, LLC
Entity Type:Organization
Organization Name:HEALTH RESOURCES OF EATONTOWN, LLC
Other - Org Name:JERSEY SHORE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:3 INDUSTRIAL WAY E
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3318
Practice Address - Country:US
Practice Address - Phone:732-544-1557
Practice Address - Fax:732-544-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ62214314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
7319100OtherUNYSIS
NJ13600Medicaid
211055OtherUS FAMILY HEALTH PLAN
897652OtherAETNA-HMO
315364OtherHORIZION - SNF
A566979OtherOXFORD HEALTH PLANS
0006225000OtherAMERIHEALTH
000833OtherHORIZION - SUB
=========OtherLOCAL 825
0006225000OtherAMERIHEALTH
211055OtherUS FAMILY HEALTH PLAN
315364OtherHORIZION - SNF
=========OtherAETNA-NONHMO
897652OtherAETNA-HMO
A566979OtherOXFORD HEALTH PLANS