Provider Demographics
NPI:1336265933
Name:KASOT INC
Entity Type:Organization
Organization Name:KASOT INC
Other - Org Name:ATLANTIC HIGHLANDS NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KASZIRER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-291-0600
Mailing Address - Street 1:8 MIDDLETOWN AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716
Mailing Address - Country:US
Mailing Address - Phone:732-291-0600
Mailing Address - Fax:732-291-2224
Practice Address - Street 1:8 MIDDLETOWN AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716
Practice Address - Country:US
Practice Address - Phone:732-291-0600
Practice Address - Fax:732-291-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061302314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4487800Medicaid
NJ4487800Medicaid