# THE HEARTHSIDE SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Hearthside Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184958308
- **Authorized official:** MR. NATHAN STERN (OPERATOR)
- **Authorized official phone:** (732) 942-1344

## Contact information

- **Practice address:** 450 WAUPELANI DR, STATE COLLEGE, PA 16801-4516
- **Practice address phone:** (814) 237-0630
- **Mailing address:** 4597 ROUTE 9 N, HOWELL, NJ 07731-3382
- **Mailing address phone:** (732) 942-1344
- **Mailing address fax:** (132) 942-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 09/21/2009