Provider Demographics
NPI:1316068117
Name:CARNEGIE HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:CARNEGIE HEALTHCARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-530-1800
Mailing Address - Street 1:3525 QUAKERBRIDGE RD STE 6300
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1277
Mailing Address - Country:US
Mailing Address - Phone:609-530-1800
Mailing Address - Fax:609-530-9800
Practice Address - Street 1:3525 QUAKERBRIDGE RD STE 6300
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1277
Practice Address - Country:US
Practice Address - Phone:609-530-1800
Practice Address - Fax:609-530-9800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARNEGIE HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0211400251B00000X, 251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7243707Medicaid