Provider Demographics
NPI:1386699346
Name:NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Entity type:Organization
Organization Name:NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:290 RED SCHOOL LN
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2276
Practice Address - Country:US
Practice Address - Phone:908-859-2800
Practice Address - Fax:908-859-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ953335310400000X
NJ062106314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004475000OtherAMERIHEALTH-MANAGED CARE
0004475000OtherIBC-MANAGED CARE
0004475000OtherIBC-TRADITIONAL
000822OtherHORIZON - SUB
317107OtherUS FAMILY HEALTH PLAN
0004475000OtherAMERIHEALTH-TRADITIONAL
2049077OtherAETNA-HMO
315316OtherHORIZION - SNF
NJ5222702OtherUNISYS
NJ21620Medicaid
=========OtherAETNA-NONHMO
=========OtherHCPC
0004475000OtherAMERIHEALTH-MANAGED CARE
000822OtherHORIZON - SUB
317107OtherUS FAMILY HEALTH PLAN