Provider Demographics
NPI:1982010310
Name:WESTGATE HILLS OPERATOR LLC
Entity Type:Organization
Organization Name:WESTGATE HILLS OPERATOR LLC
Other - Org Name:WESTGATE HILLS REHABILITATION AND HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NACHUM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROKEACH
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:732-232-9217
Mailing Address - Street 1:575 ROUTE 70 FL 2
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4042
Mailing Address - Country:US
Mailing Address - Phone:732-606-5973
Mailing Address - Fax:732-608-2976
Practice Address - Street 1:10 N ROCK GLEN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-3250
Practice Address - Country:US
Practice Address - Phone:410-646-2100
Practice Address - Fax:410-646-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30099314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
215299Medicare Oscar/Certification