MEDICARE: BENTLEY HEALTH 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	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1568162253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENTLEY HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	150 AIRPORT RD STE 900
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-6988
Country	:	US
Telephone Number	:	732-370-4030
Fax Number	:	732-370-3013

Provider Business Practice Location Address
First Line	:	1975 BABCOCK RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4584
Country	:	US
Telephone Number	:	732-370-4030
Fax Number	:

Authorized Official
Title or Position	:	ASSET MANAGER
Name	:	CHAIM ROTTENBERG
Credential	:
Telephone Number	:	732-370-4030

Provider Enumeration Date	:	03/09/2023
Last Update Date	:	03/09/2023

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Directions to “BENTLEY HEALTH CENTER LLC ” Practice Location

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