Provider Demographics
NPI:1770515165
Name:BACHARACH INSTITUTE FOR REHABILITATION INC
Entity type:Organization
Organization Name:BACHARACH INSTITUTE FOR REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-748-5454
Mailing Address - Street 1:61 W JIMMIE LEEDS ROAD
Mailing Address - Street 2:PO BOX 723
Mailing Address - City:POMONA
Mailing Address - State:NJ
Mailing Address - Zip Code:08240-0723
Mailing Address - Country:US
Mailing Address - Phone:609-748-5454
Mailing Address - Fax:609-748-7755
Practice Address - Street 1:61 WEST JIMMIE LEEDS ROAD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240-0723
Practice Address - Country:US
Practice Address - Phone:609-748-5454
Practice Address - Fax:609-748-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ20125283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4143701Medicaid
NJ4143701Medicaid