Provider Demographics
NPI:1316232812
Name:GOLDEN REHABILITATION AND NURSING CENTER, LLC
Entity type:Organization
Organization Name:GOLDEN REHABILITATION AND NURSING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:ARYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-358-6883
Mailing Address - Street 1:2477 HIGHWAY 516
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-4603
Mailing Address - Country:US
Mailing Address - Phone:732-358-6883
Mailing Address - Fax:732-707-3853
Practice Address - Street 1:438 SALEM WOODSTOWN RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-4220
Practice Address - Country:US
Practice Address - Phone:856-935-6677
Practice Address - Fax:856-935-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061703314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility