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BURNT TAVERN REHABILITATION AND HEALTH CARE CTR NPI 1851348627


NPI Information

NPI: 1851348627
Provider Name: BURNT TAVERN REHABILITATION AND HEALTH CARE CTR

Doing Business As: BURNT TAVERN CONVALESCENT CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1049 BURNT TAVERN RD
BRICK, NJ
ZIP 08724
Phone: (732) 840-3700
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BURNT TAVERN REHABILITATION AND HEALTH CARE CTR is a skilled nursing facility in Brick, 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. BURNT TAVERN REHABILITATION AND HEALTH CARE CTR NPI is 1851348627. The provider is registered as an organization entity type.
The provider Is Doing Business As Burnt Tavern Convalescent Center.

The provider's business location address is:

1049 BURNT TAVERN RD
BRICK, NJ
ZIP 08724-967
Phone: (732) 840-3700
Fax: (832) 840-0572

The provider's authorized official is Douglas Kreil .
The authorized official title is Administrator and has the following contact phone number (732) 840-3700.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 11/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1310400000XAssisted Living FacilityZBBGDWNEW JERSEYNo
2314000000XSkilled Nursing Facility061518NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14494610MEDICAIDNEW JERSEY
24494628MEDICAIDNEW JERSEY
34494601MEDICAIDNEW JERSEY
4315213MEDICARE OSCAR/CERTIFICATIONNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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