MEDICARE: CONHANKS 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	314000000X	Skilled Nursing Facility	061407	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1831188614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONHANKS LLC

Provider Business Mailing Address
First Line	:	415 SOUTHERN BLVD
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-1488
Country	:	US
Telephone Number	:	973-822-1500
Fax Number	:	973-822-1096

Provider Business Practice Location Address
First Line	:	415 SOUTHERN BLVD
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-1488
Country	:	US
Telephone Number	:	973-822-1500
Fax Number	:	973-822-1096

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MR. PASQUALE CHIARELLO JR.
Credential	:
Telephone Number	:	973-822-1500

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	10/15/2008

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Directions to “CONHANKS LLC ” Practice Location

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