Provider Demographics
NPI:1518386218
Name:HCRI EDISON SUBTENANT, LLC
Entity Type:Organization
Organization Name:HCRI EDISON SUBTENANT, LLC
Other - Org Name:BRIGHTON GARDENS OF EDISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-767-1031
Mailing Address - Street 1:1801 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2772
Mailing Address - Country:US
Mailing Address - Phone:732-767-1031
Mailing Address - Fax:732-767-0835
Practice Address - Street 1:1801 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2772
Practice Address - Country:US
Practice Address - Phone:732-767-1031
Practice Address - Fax:732-767-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility