Emerald Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMERALD OPERATOR LLC

Practice address

320 S Market St
Elizabethtown, PA 17022-2422

Phone

(908) 624-1184

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Jack Wolf

Title

Managing Member

Phone

(908) 421-1184

Specialties & licenses 1

Addresses

Other names 1

• Emerald Rehab and Healthcare Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1225636301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013881",
            "telephone_number": "908-621-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222422",
            "telephone_number": "908-624-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-421-1184"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakewood",
            "affiliation": "N",
            "address_1": "320 S Market St",
            "city": "Elizabethtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170222422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emerald Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.