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NPI Code Detail

MEDICARE: ALLENDALE NURSING HOME INC

MEDICARE: ALLENDALE NURSING HOME 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 Facility060201NJ

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 : 1881623908
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLENDALE NURSING HOME INC
Provider Business Mailing Address
First Line : 85 HARRETON RD
Second Line :
City : ALLENDALE
State : NJ
Zip : 07401-1317
Country : US
Telephone Number : 201-825-0660
Fax Number : 201-825-0377
Provider Business Practice Location Address
First Line : 85 HARRETON RD
Second Line :
City : ALLENDALE
State : NJ
Zip : 07401-1317
Country : US
Telephone Number : 201-825-0660
Fax Number : 201-825-0377
Authorized Official
Title or Position : PRESIDENT
Name : MR. HECTOR R GIANCARLO
Credential : MD
Telephone Number : 201-825-0660
Provider Enumeration Date : 07/01/2006
Last Update Date : 08/22/2020

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Directions to “ALLENDALE NURSING HOME INC ” Practice Location

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