# HARTWYCK WEST NURSING HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JFK HARTWYCK AT CEDAR BROOK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912120148
- **Authorized official:** MR. THOMAS LANKEY (SR VP FOR LTC FACILITIES)
- **Authorized official phone:** (732) 321-7890

## Contact information

- **Practice address:** 1340 PARK AVE, PLAINFIELD, NJ 07060-3227
- **Practice address phone:** (908) 754-3100
- **Practice address fax:** (908) 754-3418
- **Mailing address:** 98 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 062009 | NJ | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20218 | — | NJ |
| 05 | — | 2021Y | — | NJ |
| 05 | — | 4504305 | — | NJ |
| 05 | — | 4505107 | — | NJ |