Cpl Park Manor Llc in Bloomfield - Skilled Nursing Facility

Cpl Park Manor Llc - NPI 1073594511

Cpl Park Manor Llc is a Skilled Nursing Facility in Bloomfield, New Jersey. Cpl Park Manor Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Cpl Park Manor Llc is 1073594511. The last update date is 2011-07-27.

Cpl Park Manor Llc's current location address is 23 Park Place, Bloomfield, New Jersey. You can contact this provider via phone number 9737437772 and fax number 9737438053. The mailing address for Cpl Park Manor Llc is 23 Park Place, Bloomfield, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cpl Park Manor Llc
Address 23 Park Place, Bloomfield, New Jersey
Phone Number 9737437772
Fax Number 9737438053
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Scillia M Carole
Credentials LLC MANAGE
Telephone Number 2036086100

NPI Number Detail

NPI Number 1073594511
Provider Enumeration Date 2005-11-10
Last Updated Date 2011-07-27

Provider Mailing Address Detail

Address 23 Park Place
City Bloomfield
State New Jersey (NJ)
Post Code 70033513
Phone Number 9737437772
Fax Number 9737438053

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 60716
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

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FAQs about Cpl Park Manor Llc

What is the unique identifier code issued to Cpl Park Manor Llc by the Centers for Medicare & Medicaid Services?

The Cpl Park Manor Llc has been assigned the NPI (National Provider Identifier) 1073594511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Cpl Park Manor Llc is physically located?

The Cpl Park Manor Llc is physically situated at the following address: 23 Park Place, Bloomfield, NJ, 70033513.

What is the area of specialization for Cpl Park Manor Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Cpl Park Manor Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did Cpl Park Manor Llc receive its 1073594511 assignment from the Centers for Medicare & Medicaid Services?

The Cpl Park Manor Llc was assigned its 1073594511 on 2005-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Cpl Park Manor Llc most recently updated or revised?

The information pertaining to Cpl Park Manor Llc, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-27.

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