# REGENCY HERITAGE NURSING & REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427057918
- **Authorized official:** AARON STEFANSKY (CONTROLLER)
- **Authorized official phone:** (732) 730-9280

## Contact information

- **Practice address:** 380 DEMOTT LANE, SOMERSET, NJ 08873-2762
- **Practice address phone:** (732) 873-2000
- **Practice address fax:** (732) 873-2112
- **Mailing address:** 643 CROSS ST, LAKEWOOD, NJ 08701-4610
- **Mailing address phone:** (732) 730-9280
- **Mailing address fax:** (732) 730-9278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061801 | NJ | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 09/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18150/4499107 | — | NJ |