Absecon Manor Nursing Home Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060115 Issued in NJ

Legal business name

ABSECON MANOR NURSING HOME ASSOCIATES

Practice address

1020 Pitney Rd
Absecon, NJ 08201-9716

Phone

(609) 646-5400

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tara Mullineaux, LNHA

Title

Administrator

Phone

(609) 646-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Absecon Manor Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1508033911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PITNEY RD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082019716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PITNEY RD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082019716",
            "telephone_number": "609-646-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSECON MANOR NURSING HOME ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MULLINEAUX",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-646-5400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4462815",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absecon Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Absecon, NJ
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.