King Manor Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061341 Issued in NJ

Legal business name

KING MANOR REHAB, LLC

Doing business as

King Manor Care & Rehabilitation Center

Practice address

2303 W Bangs Ave
Neptune, NJ 07753-4111

Phone

(732) 774-3500

Fax

(732) 774-5481

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shimon D Falik, LNHA

Title

Administrator

Phone

(732) 774-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• King Manor Care & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1134288244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W BANGS AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534111",
            "telephone_number": "732-774-3500",
            "fax_number": "732-774-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W BANGS AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534111",
            "telephone_number": "732-774-3500",
            "fax_number": "732-774-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING MANOR REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "FALIK",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-774-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490509",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC",
            "identifier": "5905990001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Manor Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kidney Life, LLC (Neptune Dialysis Center)
• Richard Kim, M.D.
• Katie Kimbrough, LPC
• Paul Allen Kinard, MD
• King Manor Rehab, LLC
• Seth M Kipnis, MD
• Janet Lynn Kistler, LCSW
• Kristi Teresa Klabuhn
• Brittany Lynn Klavens, DO
• Lauren Klei

• Skilled Nursing Facility in Neptune, NJ
• Providers in Neptune, 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 Nov 30, 2007; 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.