Provider Demographics
NPI:1356805790
Name:SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-659-1353
Mailing Address - Street 1:15 AMERICA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4584
Mailing Address - Country:US
Mailing Address - Phone:908-783-1675
Mailing Address - Fax:
Practice Address - Street 1:440 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-1022
Practice Address - Country:US
Practice Address - Phone:513-861-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-30
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167605Medicaid