Healthcare Provider Details
I. General information
NPI: 1831130293
Provider Name (Legal Business Name): ENCARE OF MENDHAM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
84 COLD HILL RD
MENDHAM NJ
07945-2021
US
IV. Provider business mailing address
101 E STATE ST
KENNETT SQUARE PA
19348-3109
US
V. Phone/Fax
- Phone: 973-543-2500
- Fax: 973-543-4123
- Phone: 610-925-4436
- Fax: 610-925-4351
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 061406 |
| License Number State | PA |
VIII. Authorized Official
Name:
JANE
DROPESKEY
Title or Position: CORPORATE MANAGER
Credential:
Phone: 610-925-4231