# TRI-STATE HEALTHCARE MANAGEMENT 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:** Lakeview Rehabilitation And Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972988103
- **Authorized official:** MR. JOEL LEIFER (MEMBER)
- **Authorized official phone:** (877) 567-0402

## Contact information

- **Practice address:** 130 TERHUNE DR, WAYNE, NJ 07470-7104
- **Practice address phone:** (973) 839-4500
- **Mailing address:** 130 TERHUNE DR, WAYNE, NJ 07470-7104
- **Mailing address phone:** (718) 567-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 61610 | NJ | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 10/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 61610 | LICENSE NUMBER | NJ |