Virtua Health and Rehabilitation Center at Mount. Holly, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060310 Issued in NJ

Legal business name

VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT. HOLLY, INC.

Practice address

62 Richmond Ave
Mt. Holly, NJ 08060

Phone

(609) 267-8800

Fax

(609) 914-7878

NPI assigned

Aug 18, 2005

Organization subpart

Yes

Parent organization

VIRTUA HEALTH INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard P. Miller

Title

President/Ceo

Phone

(856) 355-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Virtua Health Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1033101795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W STOW RD",
            "address_2": "STE 8 - ATTENTION: CHRISTINE GORDON",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533160",
            "telephone_number": "856-355-0655",
            "fax_number": "856-355-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 RICHMOND AVE",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-267-8800",
            "fax_number": "609-914-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT. HOLLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA HEALTH INC.",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-355-0004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4466403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Vassell
• Manish Vig, M.D.
• Tanairi Vinales
• Virtua - Memorial Hospital Burlington County, Inc
• Virtua - Memorial Hospital Burlington County, Inc.
• Virtua Medical Group, PA
• Michael Voll V, RPN
• Carla Voltaire
• Lora Waldman, MD
• Stephanie Waldron, PA-C

• Skilled Nursing Facility in Mt. Holly, NJ
• Providers in Mt. Holly, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.