Healthcare Provider Details
I. General information
NPI: 1699576496
Provider Name (Legal Business Name): ALPS REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1120 ALPS RD
WAYNE NJ
07470-3704
US
IV. Provider business mailing address
1120 ALPS RD
WAYNE NJ
07470-3704
US
V. Phone/Fax
- Phone: 973-694-2100
- Fax:
- Phone: 973-694-2100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ABRAHAM
KRAUS
Title or Position: MANAGING MEMBER
Credential:
Phone: 973-694-2100