Provider Demographics
NPI:1457720112
Name:HALLMARK CARE AND REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:HALLMARK CARE AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-635-1195
Mailing Address - Street 1:505 MARLBORO RD
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1235
Mailing Address - Country:US
Mailing Address - Phone:201-635-1195
Mailing Address - Fax:
Practice Address - Street 1:1123 ROCKDALE AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2947
Practice Address - Country:US
Practice Address - Phone:508-997-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAR CAPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-23
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility