Provider Demographics
NPI:1528186012
Name:RARITAN EXCEL CARE INC
Entity Type:Organization
Organization Name:RARITAN EXCEL CARE INC
Other - Org Name:RARITAN HEALTH & EXTENDED CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-8950
Mailing Address - Street 1:633 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1127
Mailing Address - Country:US
Mailing Address - Phone:908-526-8950
Mailing Address - Fax:908-575-2271
Practice Address - Street 1:633 ROUTE 28
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1127
Practice Address - Country:US
Practice Address - Phone:908-526-8950
Practice Address - Fax:908-575-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061809314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4498801Medicaid
NJ315140Medicare Oscar/Certification