Organization Active NPI

Hunterdon Care Center

  • Skilled Nursing Facility
  • Flemington, NJ
National Provider Identifier
1225047095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061007 Issued in NJ
Legal business name
HUNTERDON CARE CENTER
Practice address
1 Leisure CT
Flemington, NJ 08822-5724
Phone
(908) 788-9292
Fax
(908) 788-0556
NPI assigned
Aug 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Bernadette F Revicky
Title
Administrator
Phone
(908) 788-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061007 NJ Primary

Addresses

Primary practice location

1 Leisure CT
Flemington, NJ 08822-5724

Mailing address

1 Leisure CT
Flemington, NJ 08822-5724
Phone (908) 788-9292

Other identifiers 2

IdentifierTypeStateIssuer
000691OtherNJHORIZON BLUE CROSS
4482301MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1 Leisure Ct
Flemington, NJ 08822
Phone (908) 788-4893

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225047095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEISURE CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225724",
            "telephone_number": "908-788-9292",
            "fax_number": "908-788-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEISURE CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225724",
            "telephone_number": "908-788-9292",
            "fax_number": "908-788-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REVICKY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-788-9292",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS",
            "identifier": "000691",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • 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.