Organization
STEVENS AVE HEALTHCARE CENTER LLC
Active
Other names
NEWPORT NURSING AND REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM STERN (COMPTROLLER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
198 STEVENS AVE, JERSEY CITY, NJ 07305-2111
(201) 451-9000
(201) 451-0609
Mailing address
170 53RD ST, 3RD FLOOR, BROOKLYN, NY 11232-4319
(718) 567-0400
(718) 567-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060909
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4479602
—
NJ
Enumeration date
06/12/2006
Last updated
08/22/2020
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