521 Pine Brook Operating, LLC
NPI 1306182159ActiveOrganization· Skilled Nursing Facility· Lincoln Park, NJ
Skilled Nursing Facility in Lincoln Park, New Jersey, registered in NPPES in December 2012, part of 521 Pine Brook Ventures, LLC. The authorized official on file is Charles-Edouard Gros, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1306182159 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 521 Pine Brook Ventures, LLC |
| NPI issued | Dec 26, 2012 |
| Last updated in NPPES | Dec 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 061408 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NJ) |
|---|
Other Skilled Nursing Facility providers in Lincoln Park
- 1689910432
- 1134182934
- 1730142423