Organization
BERGEN POST ACUTE CARE, LLC
Active
Other names
Hackensack Meridian Health Prospect Heights Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M LEMAIRE (PRESIDENT DIVERSIFIED VENTURES)
(732) 751-7520
Entity
Organization
Contact information
Practice address
336 PROSPECT AVE, HACKENSACK, NJ 07601
(201) 518-7800
(201) 678-1801
Mailing address
336 PROSPECT AVE, HACKENSACK, NJ 07601-2506
(201) 518-7800
(201) 678-1801
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315460
MEDICARE
NJ
Enumeration date
11/01/2018
Last updated
06/27/2019
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