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NPI Code Detail

MEDICARE: ALLAY HEALTHCARE LLC

MEDICARE: ALLAY HEALTHCARE 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1720657224
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLAY HEALTHCARE LLC
Provider Business Mailing Address
First Line : 362 E KENNEDY BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1434
Country : US
Telephone Number : 718-838-1500
Fax Number :
Provider Business Practice Location Address
First Line : 3115 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4623
Country : US
Telephone Number : 501-228-4848
Fax Number : 501-224-5950
Authorized Official
Title or Position : CEO
Name : CHAIM HERZBERG
Credential :
Telephone Number : 347-752-0095
Provider Enumeration Date : 06/21/2021
Last Update Date : 05/19/2026

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