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NPI Code Detail

MEDICARE: NORTH BERGEN HEALTH CARE, INC.

MEDICARE: NORTH BERGEN HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility060902NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164517975
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH BERGEN HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 2029 MORRIS AVENUE
Second Line : SUITE #2
City : UNION
State : NJ
Zip : 07083
Country : US
Telephone Number : 908-686-3233
Fax Number : 908-686-3668
Provider Business Practice Location Address
First Line : 9020 WALL STREET
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047
Country : US
Telephone Number : 201-861-4040
Fax Number : 201-869-8842
Authorized Official
Title or Position : CONTRACT MANAGER
Name : MRS. MELISSA B LINTEAU
Credential :
Telephone Number : 908-686-3233
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/22/2020

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