Tri-State Healthcare Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061610 Issued in NJ

Legal business name

TRI-STATE HEALTHCARE MANAGEMENT LLC

Practice address

130 Terhune Dr
Wayne, NJ 07470-7104

Phone

(973) 839-4500

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Joel Leifer

Title

Member

Phone

(973) 839-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKEVIEW REHABILITATION AND CARE CENTER Doing business as

Tax ID family

Advanced Care Center at Lakeview2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NJ Healthcare Facilities Management, LLC

  • Skilled Nursing Facility
  • Wayne, NJ
  • NPI 1740728195
  NPD tax ID

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1871950600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TERHUNE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TERHUNE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707104",
            "telephone_number": "973-839-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HEALTHCARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "LEIFER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-839-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486639",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEVIEW REHABILITATION AND CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TR Medical Group LLC
• David Khuong Tran, D.M.D.
• Greg Steven Trentacosta, D.C.
• Ashley Beth Tress, M.S. CCC-SLP
• Tri County Home Care LLC
• Tri-State Healthcare Management LLC
• Nicholas J Tria, DMD
• Patrick Joseph Triano, MS, ATC, LAT
• Trident Healthcare PC
• Trinity Rehab Somerset PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.