1351 Old Freehold Road Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

1351 OLD FREEHOLD ROAD OPERATIONS LLC

Doing business as

Bey Lea Village Care Center

Practice address

1351 Old Freehold Rd
Toms River, NJ 08753-2775

Phone

(732) 240-0090

Fax

(732) 240-0091

NPI assigned

Aug 7, 2015

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESIS NJ HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other names 1

• Bey Lea Village Care Center Doing business as

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1689050064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 OLD FREEHOLD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532775",
            "telephone_number": "732-240-0090",
            "fax_number": "732-240-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 OLD FREEHOLD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532775",
            "telephone_number": "732-240-0090",
            "fax_number": "732-240-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1351 OLD FREEHOLD ROAD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS NJ HOLDINGS LLC",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bey Lea Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1198 Medical Associates LLC
• 1351 Old Freehold Road Operations LLC (Bey Lea Nursing & Rehabilitation Center)
• 16 Medical Group LLC
• 2 Change of Hearts
• 21 Plus, Inc
• 21 Plus, Inc

• Skilled Nursing Facility in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.