# HOME FOR THE ARMENIAN AGED INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA Armenian Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275524746
- **Authorized official:** MR. MATTHEW RUSSO LNHA (ADMINISTRATOR)
- **Authorized official phone:** (201) 261-6662

## Contact information

- **Practice address:** 70 MAIN ST, EMERSON, NJ 07630-1948
- **Practice address phone:** (201) 261-6662
- **Practice address fax:** (201) 261-5509
- **Mailing address:** 70 MAIN ST, EMERSON, NJ 07630-1948
- **Mailing address phone:** (201) 261-6662
- **Mailing address fax:** (201) 261-5509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030202 | NJ | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4465105 | — | NJ |