Care One at Mercer, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

476003 Issued in NJ

Legal business name

CARE ONE AT MERCER, LLC

Doing business as

Care One at Ewing

Practice address

1201 Parkway Ave
Ewing, NJ 08628-3008

Phone

(609) 882-6900

Fax

(609) 671-3910

NPI assigned

Jul 15, 2005

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. Kevin P Breslin

Title

Executive VP

Phone

(201) 242-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care One at Ewing Doing business as

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497754188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283008",
            "telephone_number": "609-882-6900",
            "fax_number": "609-671-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283008",
            "telephone_number": "609-882-6900",
            "fax_number": "609-671-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ONE AT MERCER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "201-242-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "476003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56634",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One at Ewing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.