Promedica Skilled Nursing And Rehabilitation (Washington Township)

LBN: Portfolio One, Llc
Promedica Skilled Nursing And Rehabilitation (Washington Township) is an health care organization with primary practice located at 378 Fries Mill Road , Sewell NJ 08080-9203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Portfolio One, Llc can be contacted via phone (419) 252-5500, or through Allen, Martin D via phone (419) 252-5743.

Contact Information

Primary practice address
378 Fries Mill Road Sewell NJ 08080-9203
Phone: (419) 252-5500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5743

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1861727489
LBN Legal business name Portfolio One, Llc
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Washington Township)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2009
Last updated Jan 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861727489 NPPES
New Jersey MEDICAID 0247618

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