Organization · NPI-2

Bergen Post Acute Care, LLC

Skilled Nursing Facility · Hackensack, NJ

NPI number1619444221
StatusActive
Last updated in NPPESJun 27, 2019

Details

NPI
1619444221
Entity type
Organization (NPI-2)
Legal business name
Bergen Post Acute Care, LLC
Organization subpart
No
Enumeration date
Nov 1, 2018
Last updated
Jun 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Hackensack Meridian Health Prospect Heights Care Center (Doing Business As)

Practice location

336 Prospect Ave
Hackensack, NJ 07601

Phone 201-518-7800 · Fax 201-678-1801

Mailing address

336 Prospect Ave
Hackensack, NJ 07601-2506

Phone 201-518-7800 · Fax 201-678-1801

Authorized official

Joseph M Lemaire
President Diversified Ventures
7327517520

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