Healthcare Provider Details

I. General information

NPI: 1255018339
Provider Name (Legal Business Name): MONROE SPRINGS OPERATING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 STEWART RD
MONROE MI
48162-5304
US

IV. Provider business mailing address

1352 RIVER AVE UNIT B
LAKEWOOD NJ
08701-5646
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-1820
  • Fax:
Mailing address:
  • Phone:
  • 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: MOSHE GOTTLIEB
Title or Position: MEMBER
Credential:
Phone: 732-370-8090