MEDICARE: CHATHAM HILLS SUBACUTE CARE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	061407	NJ

General Provider Information

NPI Number	:	1558769414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATHAM HILLS SUBACUTE CARE CENTER LLC

Provider Business Mailing Address
First Line	:	180 SYLVAN AVE
Second Line	:	SUITE 201
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-2512
Country	:	US
Telephone Number	:	201-731-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 SOUTHERN BLVD
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-1488
Country	:	US
Telephone Number	:	201-731-1700
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. MARK FRIEDMAN
Credential	:
Telephone Number	:	201-731-1700

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	02/27/2026

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