Provider Demographics
NPI:1710931787
Name:POMPTON CARE, LLC
Entity Type:Organization
Organization Name:POMPTON CARE, LLC
Other - Org Name:ARBOR GLEN 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 1:25 E LINDSLEY RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1023
Practice Address - Country:US
Practice Address - Phone:973-256-7220
Practice Address - Fax:973-256-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060706314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
315036OtherHORIZON - SNF
316920OtherUS FAMILY HEALTH PLAN
000820OtherHORIZION - SUB
0004294000OtherAMERIHEALTH-TRADITIONAL
NJ4476603OtherUNISYS #
23-2261435OtherCIGNA-NJ
0004294000OtherAMERIHEALTH-MANAGED CARE
NJ07330Medicaid
2176496OtherAETNA-HMO
000820OtherHORIZION - SUB
=========OtherCONSUMER HEALTH NETWORK
NJ07330Medicaid
316920OtherUS FAMILY HEALTH PLAN
NJ4476603OtherUNISYS #
=========-001OtherQUALCARE