Healthcare Provider Details

I. General information

NPI: 1841083441
Provider Name (Legal Business Name): NORTH 8TH STREET OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N 8TH ST
NASHVILLE AR
71852-3603
US

IV. Provider business mailing address

1999 CEDARBRIDGE AVE STE 3B
LAKEWOOD NJ
08701-7048
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-4600
  • Fax:
Mailing address:
  • Phone: 732-366-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ISRAEL GANZ
Title or Position: DIRECTOR
Credential:
Phone: 732-366-5705