Provider Demographics
NPI:1942709969
Name:BLOOMSBURG CARE AND REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:BLOOMSBURG CARE AND REHABILITATION CENTER, LLC
Other - Org Name:BLOOMSBURG CARE AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEINBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-278-0987
Mailing Address - Street 1:211 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-1405
Mailing Address - Country:US
Mailing Address - Phone:570-784-5930
Mailing Address - Fax:
Practice Address - Street 1:211 E 1ST ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-1405
Practice Address - Country:US
Practice Address - Phone:570-784-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility