North Bergen Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060902 Issued in NJ

Legal business name

NORTH BERGEN HEALTHCARE, LLC

Doing business as

Hudsonview Care & Rehabilitation Center

Practice address

9020 Wall St
North Bergen, NJ 07047-6011

Phone

(201) 861-4040

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harry Wruble

Title

Administrator

Phone

(201) 809-2890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudsonview Care & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1780775635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 WALL ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476011",
            "telephone_number": "201-809-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 WALL ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476011",
            "telephone_number": "201-861-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BERGEN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WRUBLE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-809-2890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudsonview Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in North Bergen, NJ
• Providers in North Bergen, 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 Jun 18, 2008; 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.