Healthcare Provider Details

I. General information

NPI: 1275292260
Provider Name (Legal Business Name): PINE BROOK CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PENSION RD
MANALAPAN NJ
07726-8400
US

IV. Provider business mailing address

104 PENSION RD
MANALAPAN NJ
07726-8400
US

V. Phone/Fax

Practice location:
  • Phone: 732-446-3600
  • 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: ELIYAHU FRANKEL
Title or Position: OWNER
Credential:
Phone: 732-963-8400