# 300 BROADWAY HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEW VISTA NURSING & REHAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750379517
- **Authorized official:** MR. SHMUEL KRAMER BA (BUSINESS OFFICE)
- **Authorized official phone:** (973) 484-4222

## Contact information

- **Practice address:** 300 BROADWAY, NEWARK, NJ 07104-4003
- **Practice address phone:** (973) 484-4222
- **Mailing address:** 300 BROADWAY, NEWARK, NJ 07104-4003
- **Mailing address phone:** (973) 484-4222

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 12/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7792603 | — | NJ |