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NPI Code Detail

MEDICARE: NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.

MEDICARE: NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
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
1310400000XAssisted Living Facility953335NJ
2314000000XSkilled Nursing Facility062106NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10004475000OTHERAMERIHEALTH-MANAGED CARE
20004475000OTHERIBC-MANAGED CARE
30004475000OTHERIBC-TRADITIONAL
4000822OTHERHORIZON - SUB
5317107OTHERUS FAMILY HEALTH PLAN
60004475000OTHERAMERIHEALTH-TRADITIONAL
72049077OTHERAETNA-HMO
8315316OTHERHORIZION - SNF
95222702OTHERNJUNISYS
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386699346
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4351
Provider Business Practice Location Address
First Line : 290 RED SCHOOL LN
Second Line :
City : PHILLIPSBURG
State : NJ
Zip : 08865-2276
Country : US
Telephone Number : 908-859-2800
Fax Number : 908-859-4532
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4231
Provider Enumeration Date : 05/24/2006
Last Update Date : 06/21/2018

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