Provider Demographics
NPI:1891822920
Name:BERKELEY MEADOWS LLC
Entity Type:Organization
Organization Name:BERKELEY MEADOWS LLC
Other - Org Name:BERKELEY MEADOWS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAPID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-464-9260
Mailing Address - Street 1:311 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1215
Mailing Address - Country:US
Mailing Address - Phone:908-464-9260
Mailing Address - Fax:908-464-9261
Practice Address - Street 1:311 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1215
Practice Address - Country:US
Practice Address - Phone:908-464-9260
Practice Address - Fax:908-464-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ20200314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ315474Medicare Oscar/Certification