Etown Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ETOWN OPERATOR LLC

Practice address

141 Heisey Ave
Elizabethtown, PA 17022-8107

Phone

(717) 367-1831

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Jacques Wolf

Title

Managing Member

Phone

(908) 621-1184

Specialties & licenses 1

Addresses

Other names 2

• Elizabeth Doing business as
• Elizabethtown Healthcare and Rehab Center Doing business as

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740705805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013881",
            "telephone_number": "908-421-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HEISEY AVE",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170228107",
            "telephone_number": "717-367-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-621-1184"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabethtown Healthcare and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabethtown Healthcare and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Elizabethtown, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.