St Cloud Rochelle Park LLC

Organization Active NPI Skilled Nursing Facility · Rochelle Park, NJ

NPI 1487811014 · NPPES record last updated May 21, 2008

Key facts

NPI
1487811014
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
ST CLOUD ROCHELLE PARK LLC
Practice address
96 Parkway
Rochelle Park, NJ 07662-4200
Phone
(718) 567-0400
NPI assigned
May 21, 2008
Organization subpart
No

Authorized official

Name
Chavie Katz
Title
Billing Manager
Phone
(718) 567-0400

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
St Cloud Rochelle Park LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

96 Parkway
Rochelle Park, NJ 07662-4200

Mailing address

170 53Rd St
Brooklyn, NY 11232-4316

Other identifiers

IdentifierTypeStateIssuer
0132349MedicaidNJ

Other providers in Rochelle Park, NJ

All providers in Rochelle Park, NJ · Skilled Nursing Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.