Provider Demographics
NPI:1881148484
Name:ELMHURST OPERATOR LLC
Entity type:Organization
Organization Name:ELMHURST OPERATOR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICARE ADMINISTRATION OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MINDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-903-1958
Mailing Address - Street 1:575 ROUTE 70
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4042
Mailing Address - Country:US
Mailing Address - Phone:732-415-6003
Mailing Address - Fax:
Practice Address - Street 1:575 ROUTE 70
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4042
Practice Address - Country:US
Practice Address - Phone:732-415-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILTC00786314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility