Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKEVIEW SUBACUTE CARE CENTER, INC.
Active
Organization
LAKEVIEW SUBACUTE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FRANK GROSSO JR. LNHA (ADMINISTRATOR)
(973) 616-5815
Entity
Organization
Contact information
Practice address
130 TERHUNE DR, WAYNE, NJ 07470-7104
(973) 616-5815
(973) 616-2768
Mailing address
130 TERHUNE DR, WAYNE, NJ 07470-7104
(973) 616-5815
(973) 616-2768
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
61610
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047847
AETNA USHC
—
01
—
315110
BLUE CROSS BLUE SHIELD
NJ
05
—
4496205
—
NJ
01
—
4552
AMERIHEALTH
—
01
—
92624
AMERIGROUP
—
01
—
ANC268
OXFORD HEALTH
—
01
—
CV09616
CIGNA
—
Enumeration date
03/29/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers