Crystal Lake Healthcare and Rehabilitation
Organization Active NPI Skilled Nursing Facility · Bayville, NJ
NPI 1023118908 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1023118908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 061501 (NJ)
- Legal business name
- CRYSTAL LAKE HEALTHCARE AND REHABILITATION
- Practice address
- 395 Lakeside Blvd
Bayville, NJ 08721-2807 - Phone
- (732) 269-0500
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Melissa B Linteau
- Title
- Contract Manager
- Phone
- (908) 686-3233
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061501 | NJ | Yes |
Addresses
Primary practice location
395 Lakeside Blvd
Bayville, NJ 08721-2807
Mailing address
2029 Morris Ave
Suite #2
Union, NJ 07083-6013
Phone (908) 686-3233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4493001 | Medicaid | NJ |
Other providers in Bayville, NJ
- Craig L Conway
- Kaitlyn Conway
- Ramona A. Crofoot
- Kyle Cronin
- Kelly M Crosbie
- Crystal Spring Center LLC
- Francis W Cummins
- Danielle Dagato
- Craig Danielak
- Tracy Ann Danielak
All providers in Bayville, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.