1165 Easton Avenue Operations LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Somerset, NJ
NPI 1528577293 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1528577293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 00000 (NJ)
- Legal business name
- 1165 EASTON AVENUE OPERATIONS LLC
- Practice address
- 1165 Easton Ave
Somerset, NJ 08873-1613 - Phone
- (732) 246-4100
- NPI assigned
- Sep 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Michael T Berg
- Title
- VP Gen Counsel Asst Secy
- Phone
- (505) 468-4742
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 00000 | NJ | Yes |
Addresses
Primary practice location
1165 Easton Ave
Somerset, NJ 08873-1613
Mailing address
1165 Easton Ave
Somerset, NJ 08873-1613
Phone (732) 246-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | NJ | NON MEDICARE |
Other names
- WILLOW CREEK REHABILITATION CARE CENTER
Other providers in Somerset, NJ
- 1 Able Community LLC
- 1165 Easton Avenue Operations LLC
- A Home Care
- A Path of Wellness Counseling, LLC
- A to Z Behavioral Services Somerset
- A True Life Somerset,LLC
All providers in Somerset, NJ · Nursing Facility/Intermediate Care Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.