Provider Demographics
NPI:1922522408
Name:SKYLINE OF ASHTON PLACE HEALTHCARE AND REHABILITATION LLC
Entity Type:Organization
Organization Name:SKYLINE OF ASHTON PLACE HEALTHCARE AND REHABILITATION LLC
Other - Org Name:ASHTON PLACE HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-635-1195
Mailing Address - Street 1:3030 WALNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3508
Mailing Address - Country:US
Mailing Address - Phone:901-458-1146
Mailing Address - Fax:901-458-6680
Practice Address - Street 1:3030 WALNUT GROVE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-3508
Practice Address - Country:US
Practice Address - Phone:901-458-1146
Practice Address - Fax:901-458-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility