# GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.

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

## Provider details

- **NPI number:** 1710986823
- **Authorized official:** MR. RICHARD S GOLDSTEIN LNHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (609) 883-5391

## Contact information

- **Practice address:** 53 WALTER ST, EWING, NJ 08628-3016
- **Practice address phone:** (609) 883-5391
- **Practice address fax:** (609) 530-1635
- **Mailing address:** 53 WALTER ST, EWING, NJ 08628-3016
- **Mailing address phone:** (609) 883-5391
- **Mailing address fax:** (609) 530-1635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 031101 | NJ | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0469710001 | NSC NUMBER FOR PEN BILLIN | NJ |
| 05 | — | 4483600 | — | NJ |
| 01 | — | 563991 | MEDICARE OSCAR FOR PHYSICIAN'S BILLING | NJ |