BELMAR HEALTHCARE GROUP LLC (RIVERSIDE NURSING AND REHABILITATION CENTER) - NPI NUMBER 1205194230

Summary

Provider Name: BELMAR HEALTHCARE GROUP LLC (RIVERSIDE NURSING AND REHABILITATION CENTER)

NPI Number: 1205194230

Clasification: Skilled Nursing Facility (314000000X)

Address:
325 JERSEY ST
TRENTON, NJ
ZIP 08611

Phone Number: (609) 394-3400



Detailed Information

BELMAR HEALTHCARE GROUP LLC is a skilled nursing facility in Trenton, NJ. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. The assigned NPI number for this provider is 1205194230 and is registered as an organization entity type.
The provider Is Doing Business As Riverside Nursing And Rehabilitation Center.

The provider's business address is:

325 JERSEY ST
TRENTON, NJ
ZIP 08611-113
Phone: (609) 394-3400

The provider's authorized official is Eugene Ehrenfeld .
The authorized official title is Member and has the following contact phone number (718) 755-4047.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 7/15/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 314000000X Skilled Nursing Facility 061112 NJ Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 0293431 MEDICAID NJ
2 315235 MEDICARE OSCAR/CERTIFICATION NJ

NPI Record

No. Field Name Field Value
1 NPI 1205194230
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name BELMAR HEALTHCARE GROUP LLC
5 Provider Other Organization Name RIVERSIDE NURSING AND REHABILITATION CENTER
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 325 JERSEY ST
8 Provider Business Practice Location Address City Name TRENTON
9 Provider Business Practice Location Address State Name NJ
10 Provider Business Practice Location Address Postal Code 086113113
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6093943400
13 Provider Enumeration Date 4/27/2012
14 Last Update Date 7/15/2014
15 Authorized Official Last Name EHRENFELD
16 Authorized Official First Name EUGENE
17 Authorized Official Title or Position MEMBER
18 Authorized Official Telephone Number 7187554047
19 Healthcare Provider Taxonomy Code 1 314000000X
20 Provider License Number 1 061112
21 Provider License Number State Code 1 NJ
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 0293431
24 Other Provider Identifier Type Code 1 05
25 Other Provider Identifier State 1 NJ
26 Other Provider Identifier 2 315235
27 Other Provider Identifier Type Code 2 06
28 Other Provider Identifier State 2 NJ
29 Is Organization Subpart N
30 Authorized Official Name Prefix Text MR.
31 Authorized Official Credential Text LNHA

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.