White Horse Health Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060113 Issued in NJ

Legal business name

WHITE HORSE HEALTH CARE, LLC

Doing business as

Innova Health and Rehab at Hammonton

Practice address

43 N White Horse Pike
Hammonton, NJ 08037-1875

Phone

(609) 567-3100

Fax

(609) 567-0615

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Drew A Barile

Title

Ceo/Coo

Phone

(201) 835-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innova Health and Rehab at Hammonton Doing business as

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083620371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-3100",
            "fax_number": "609-567-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-3100",
            "fax_number": "609-567-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HORSE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/COO",
        "authorized_official_telephone_number": "201-835-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4463005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innova Health and Rehab at Hammonton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Hammonton, NJ
• Providers in Hammonton, 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 Aug 22, 2020; 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.