# JERSEY CITY HEALTHCARE PROVIDORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harborview HCC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023054228
- **Authorized official:** MR. SAM STERN (COMPTROLLER)
- **Authorized official phone:** (718) 567-0400

## Contact information

- **Practice address:** 178 198 OGDEN AVENUE, JERSEY CITY, NJ 07307-1394
- **Practice address phone:** (201) 963-1800
- **Practice address fax:** (201) 963-0018
- **Mailing address:** 14C 53RD ST, SUITE 220, BROOKLYN, NY 11232-2644
- **Mailing address phone:** (718) 567-0400
- **Mailing address fax:** (718) 567-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060905 | NJ | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 06/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4479408 | — | NJ |
