Provider Demographics
NPI:1801917018
Name:FRITZ REUTER ALTENHEIM
Entity type:Organization
Organization Name:FRITZ REUTER ALTENHEIM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & FINANCIAL SEC.
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-867-3585
Mailing Address - Street 1:3161 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2303
Mailing Address - Country:US
Mailing Address - Phone:201-867-3585
Mailing Address - Fax:
Practice Address - Street 1:3161 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-2303
Practice Address - Country:US
Practice Address - Phone:201-867-3585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ403330310400000X
NJ030901314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJ403330OtherNJ DEPT. OF HEALTH
NJNJ30901OtherNJ DEPT. OF HEALTH