Provider Demographics
NPI:1649315565
Name:FOREST HILL HEALTH CARE CENTER, INC.
Entity type:Organization
Organization Name:FOREST HILL HEALTH CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-482-2351
Mailing Address - Street 1:497 MOUNT PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-2903
Mailing Address - Country:US
Mailing Address - Phone:973-482-2351
Mailing Address - Fax:973-482-6752
Practice Address - Street 1:497 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-2903
Practice Address - Country:US
Practice Address - Phone:973-482-2351
Practice Address - Fax:973-482-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7411600Medicaid
NJ315375Medicare ID - Type UnspecifiedPROVIDER NUMBER