- Enrollment id
- O20221123001384
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1225750862
- Multiple npi flag
- N
- Ccn
- 315288
- Associate id
- 4486022407
- Organization name
- BARTLEY OPERATOR LLC
- Doing business as name
- BARTLEY NURSING & REHAB
- Incorporation date
- 2021-10-06
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BARTLEY NURSING & REHAB
- Address line 1
- 175 BARTLEY RD
- City
- JACKSON
- State
- NJ
- Zip code
- 085271241