Provider Demographics
NPI:1427659515
Name:ELOHIM REHAB-CARE ASSOCIATES, INC.
Entity type:Organization
Organization Name:ELOHIM REHAB-CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-231-5920
Mailing Address - Street 1:485C US HIGHWAY 1 SOUTH, SUITE 350
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830
Mailing Address - Country:US
Mailing Address - Phone:732-231-5920
Mailing Address - Fax:
Practice Address - Street 1:485C US HIGHWAY 1 SOUTH, SUITE 350
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830
Practice Address - Country:US
Practice Address - Phone:732-231-5920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELOHIM REHAB-CARE ASSOCIATED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0869678Medicaid