# PRINCETON HEALTHCARE SNF, LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pavilions at Forrestal Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376539742
- **Authorized official:** JOHN PILEK (LNHA)
- **Authorized official phone:** (609) 987-1221

## Contact information

- **Practice address:** 5000 WINDROW DR, PRINCETON, NJ 08540-5003
- **Practice address phone:** (609) 987-1221
- **Mailing address:** 5000 WINDROW DR, PRINCETON, NJ 08540-5003
- **Mailing address phone:** (609) 987-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 62202 | NJ | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 108324 | AMERICAID | NJ |
| 01 | — | 1157185 | HORIZON NJ HEALTH | NJ |
| 01 | — | 17620 | WELLCHOICE OF NJ | NJ |
| 01 | — | 315370 | HORIZON BC/BS | NJ |
| 01 | — | 5597641 | AETNA | NJ |
| 05 | — | 7382707 | — | NJ |
| 01 | — | A1265483 | OXFORD | NJ |