MEDICARE: ACUTECARE HEALTH SYSTEM, LLC

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
1	282N00000X	General Acute Care Hospital	23142	NJ
2	282E00000X	Long Term Care Hospital	23142	NJ

General Provider Information

NPI Number	:	1528063435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTECARE HEALTH SYSTEM, LLC

Provider Business Mailing Address
First Line	:	500 RIVER AVE
Second Line	:	STE 150
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4738
Country	:	US
Telephone Number	:	732-364-0800
Fax Number	:	732-264-0846

Provider Business Practice Location Address
First Line	:	300 SECOND AVE
Second Line	:	GREENWALL 6
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740
Country	:	US
Telephone Number	:	732-923-5037
Fax Number	:	732-923-6580

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL CZERMAK
Credential	:
Telephone Number	:	732-364-0800

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/05/2009

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