Provider Demographics
NPI:1023050689
Name:HEALTH RESOURCES OF ENGLEWOOD LLC
Entity type:Organization
Organization Name:HEALTH RESOURCES OF ENGLEWOOD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:333 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4356
Practice Address - Country:US
Practice Address - Phone:201-568-0900
Practice Address - Fax:401-732-3358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA060210314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
315349OtherHORIZION - SNF
2176541OtherAETNA-HMO
000829OtherHORIZION - SUB
8653101OtherUNISYS
000423000OtherAMERIHEALTH
NJ02130Medicaid
210111OtherUS FAMILY HEALTH PLAN
=========OtherCONSUMER HEALTH NETWORK
8653101OtherUNISYS
=========OtherHCPC
=========OtherHNFS-TRICARE
=========-001OtherQUALCARE
=========OtherUNITED HEALTHCARE
NJ02130Medicaid
000829OtherHORIZION - SUB