Provider Demographics
NPI:1912015223
Name:WAYNE VIEW CORP
Entity Type:Organization
Organization Name:WAYNE VIEW CORP
Other - Org Name:ATRIUM POST ACUTE CARE OF WAYNE VIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LINTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-686-3233
Mailing Address - Street 1:2029 MORRIS AVE
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6013
Mailing Address - Country:US
Mailing Address - Phone:908-686-3233
Mailing Address - Fax:908-686-3668
Practice Address - Street 1:2020 ROUTE 23 NORTH
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-305-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061629314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4495802Medicaid
NJ315291Medicare ID - Type Unspecified
NJ315291Medicare PIN