BACHARACH INSTITUTE FOR REHABILITATION INC NPI 1770515165

Rehabilitation Hospital in Pomona, NJ

NPI 1770515165 Organization Rehabilitation Hospital

About BACHARACH INSTITUTE FOR REHABILITATION INC

Bacharach Institute For Rehabilitation Inc is a provider established in Pomona, New Jersey specializing in rehabilitation hospital. The NPI number of Bacharach Institute For Rehabilitation Inc is 1770515165 and was assigned on July 2006. The practitioner's primary taxonomy code is 283X00000X with license number 20125 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Nancy F Price (Director Patient Financial Services)

NPI

1770515165

Provider NameBACHARACH INSTITUTE FOR REHABILITATION INC
Provider Location Address61 WEST JIMMIE LEEDS ROAD POMONA, NJ 08240
Provider Mailing Address61 W JIMMIE LEEDS ROAD PO BOX 723 POMONA, NJ 08240
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-07-2006
Last Update Date04-25-2012


Primary Taxonomy

Taxonomy Code283X00000X
ClassificationRehabilitation Hospital
TypeHospitals
License No.20125
License StateNJ
Taxonomy DescriptionA hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Business Address

BACHARACH INSTITUTE FOR REHABILITATION INC
61 WEST JIMMIE LEEDS ROAD
POMONA, NJ
ZIP 08240
Phone: (609) 748-5454
Fax: (609) 748-7755

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Mailing Address

BACHARACH INSTITUTE FOR REHABILITATION INC
61 W JIMMIE LEEDS ROAD
PO BOX 723
POMONA, NJ
ZIP 08240
Phone: (609) 748-5454
Fax: (609) 748-7755



Authorized Official

Authorized Official NameMS. NANCY F PRICE
Authorized Official TitleDIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official Phone(609) 748-5454

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
313030MEDICARE ID-TYPE UNSPECIFIED (04)NJ
4143701MEDICAID (05)NJ

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013139161MS. EVA JOHANNESEN P.T.
Individual
Physical Therapist61 WEST JIMMIE LEEDS ROAD
POMONA, NJ 08240
(609) 748-5400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.