Red Bank Acquisition 1 LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061325 Issued in NJ

Legal business name

RED BANK ACQUISITION 1 LLC

Doing business as

Chapin Hill At Red Bank

Practice address

100 Chapin Ave
Red Bank, NJ 07701-1418

Phone

(732) 741-8811

Fax

(732) 783-0379

NPI assigned

Dec 21, 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. Zev Farkas, LNHA

Title

Ceo

Phone

(732) 741-8811

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chapin Hill At Red Bank Doing business as

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093879165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHAPIN AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011418",
            "telephone_number": "732-741-8811",
            "fax_number": "732-783-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHAPIN AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011418",
            "telephone_number": "732-741-8811",
            "fax_number": "732-783-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BANK ACQUISITION 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARKAS",
        "authorized_official_first_name": "ZEV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-741-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "061325",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4489004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapin Hill At Red Bank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Red Bank, NJ
• Providers in Red Bank, 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.