Tri-State Healthcare Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

61610 Issued in NJ

Legal business name

TRI-STATE HEALTHCARE MANAGEMENT LLC

Doing business as

Lakeview Rehabilitation And Care Center

Practice address

130 Terhune Dr
Wayne, NJ 07470-7104

Phone

(973) 839-4500

NPI assigned

Jul 29, 2015

Last updated

Oct 16, 2018By the provider in NPPES

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

(877) 567-0402

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Rehabilitation And Care Center Doing business as

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1972988103",
    "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",
            "telephone_number": "718-567-0400"
        },
        {
            "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": "2015-07-29",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "LEIFER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "877-567-0402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "61610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "61610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Rehabilitation And Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Rehabilitation And Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Khuong Tran, D.M.D.
• Greg Steven Trentacosta, D.C.
• Ashley Beth Tress, M.S. CCC-SLP
• Tri County Home Care LLC (BrightStar Care of Wayne)
• Tri-State Healthcare Management LLC (Lakeview Rehabilitation and Care Center)
• Nicholas J Tria, DMD
• Patrick Joseph Triano, MS, ATC, LAT
• Trident Healthcare PC
• Trinity Rehab Somerset PA (Trinity Rehab Wayne)
• Kelly Michelle Tripi, DPT

• Skilled Nursing Facility in Wayne, NJ
• Providers in Wayne, 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 Oct 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.