Provider Demographics
NPI:1982690335
Name:STRATEGIC LONG TERM CARE OF NJ AT BERKELEY HEIGHTS
Entity Type:Organization
Organization Name:STRATEGIC LONG TERM CARE OF NJ AT BERKELEY HEIGHTS
Other - Org Name:BERKELEY HEIGHTS NURS. AND REHAB. CTR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LNHA
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-464-0048
Mailing Address - Street 1:35 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1508
Mailing Address - Country:US
Mailing Address - Phone:908-464-0048
Mailing Address - Fax:
Practice Address - Street 1:35 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1508
Practice Address - Country:US
Practice Address - Phone:908-464-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ062016314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000355700OtherAMERICHOICE
NJ4422128Other4422128
NJ92651OtherAMERICAID
NJ2884136OtherAETNA (HMO)
NJ4504801Medicaid
NJ0013121OtherHORIZON BC/BS (SUBACUTE)
NJ60010169OtherHORIZON NJ HEALTH
NJ315195OtherHORIZON BC/BS (SKILLED)
NJ315195Medicare Oscar/Certification
NJ0013121OtherHORIZON BC/BS (SUBACUTE)