WILLOW CREEK REHABILITATION CARE CENTER
NPI 1528577293
Nursing Facility/Intermediate Care Facility in Somerset, NJ

Q: What is 1165 Easton Avenue Operations LLC's NPI number?

The NPI number for 1165 Easton Avenue Operations LLC is 1528577293. It was assigned to this organization in the NPPES registry on September 26, 2017. The provider is doing business as Willow Creek Rehabilitation Care Center.

Q: What is 1165 Easton Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since September 26, 2017

1165 EASTON AVE, SOMERSET, NJ 08873(732) 246-4100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Willow Creek Rehabilitation Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW CREEK REHABILITATION CARE CENTER (NPI 1528577293) is a healthcare organization registered as a nursing facility/intermediate care facility in Somerset, New Jersey and active in the NPI registry since September 2017. The organization lists Michael T Berg, Vp Gen Counsel Asst Secy, as its authorized official.

NPPES Registry Identity

NPI1528577293

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business Name1165 EASTON AVENUE OPERATIONS LLC

Location Address1165 EASTON AVESomerset, NJ 08873-1613

Mailing Address1165 Easton AveSomerset, NJ 08873-1613 · (732) 246-4100

Phone(732) 246-4100

Organization SubpartNo

Authorized OfficialMichael T BergVp Gen Counsel Asst Secy · (505) 468-4742

Enumeration DateSeptember 26, 2017

Last NPPES UpdateJuly 21, 2022

✔ NPI 1528577293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in NJ · 00000

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1165 EASTON AVE, Somerset, NJ 08873

Open in Google Maps ↗

Other Names 1

Doing Business AsWillow Creek Rehabilitation Care Center

Other Identifiers 1

Other00000NJ · Non Medicare

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIWEI XIE OT

Occupational Therapist