Healthcare Provider Details

I. General information

NPI: 1023013786
Provider Name (Legal Business Name): CRANBURY HEALTHCARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MAPLEWOOD AVE
CRANBURY NJ
08512-3237
US

IV. Provider business mailing address

61 MAPLEWOOD AVE
CRANBURY NJ
08512-3237
US

V. Phone/Fax

Practice location:
  • Phone: 609-395-0641
  • Fax: 609-395-8200
Mailing address:
  • Phone: 609-395-0641
  • Fax: 609-395-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number061211
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061211
License Number StateNJ

VIII. Authorized Official

Name: MS. DEANNA EVJU
Title or Position: TREASURER
Credential:
Phone: 609-395-0641