Provider Demographics
NPI:1831131168
Name:HEALTH RESOURCES OF SOUTH BRUNSWICK L L C
Entity type:Organization
Organization Name:HEALTH RESOURCES OF SOUTH BRUNSWICK L L C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:QUALITY 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 1:2 DEERPARK DR
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-1919
Practice Address - Country:US
Practice Address - Phone:732-274-1122
Practice Address - Fax:732-274-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061345314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
7263104OtherUNISYS #
NJ12400Medicaid
315362OtherHORIZION - SNF
2176725OtherAETNA - HMO
23-26338773OtherAETNA-NONHMO
0006245000OtherAMERIHEALTH
211053OtherUS FAMILY HEALTH PLAN
000845OtherHORIZION - SUB
A526575OtherOXFORD HEALTH PLANS
0006245000OtherAMERIHEALTH
=========OtherHCPC
NJ12400Medicaid
000845OtherHORIZION - SUB
211053OtherUS FAMILY HEALTH PLAN
=========OtherCIGNA-NJ