Healthcare Provider Details

I. General information

NPI: 1679628630
Provider Name (Legal Business Name): AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 BIG OAK RD
PITTSGROVE NJ
08318
US

IV. Provider business mailing address

849 BIG OAK ROAD
PITTSGROVE NJ
08318
US

V. Phone/Fax

Practice location:
  • Phone: 856-451-5000
  • Fax: 856-455-7371
Mailing address:
  • Phone: 856-451-5000
  • Fax: 856-455-7371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061704
License Number StateNJ

VIII. Authorized Official

Name: ROBERT CONNER
Title or Position: CFO
Credential:
Phone: 610-832-2059