Provider Demographics
NPI:1417533076
Name:HAMPTON HOUSE OPERATIONS LLC
Entity type:Organization
Organization Name:HAMPTON HOUSE OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-777-9955
Mailing Address - Street 1:1548 SANS SOUCI PKWY
Mailing Address - Street 2:
Mailing Address - City:HANOVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-6028
Mailing Address - Country:US
Mailing Address - Phone:570-825-8725
Mailing Address - Fax:570-825-4319
Practice Address - Street 1:1548 SANS SOUCI PKWY
Practice Address - Street 2:
Practice Address - City:HANOVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18706-6028
Practice Address - Country:US
Practice Address - Phone:570-825-8725
Practice Address - Fax:570-825-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility