Healthcare Provider Details

I. General information

NPI: 1831720549
Provider Name (Legal Business Name): SPRINGFIELD OPERATOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 W SPROUL RD
SPRINGFIELD PA
19064-2120
US

IV. Provider business mailing address

1608 ROUTE 88
BRICK NJ
08724-3009
US

V. Phone/Fax

Practice location:
  • Phone: 610-543-0700
  • Fax:
Mailing address:
  • Phone: 732-903-1985
  • 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: MR. YITZCHOK ROKOWSKY
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 732-961-9991