1420 South Black Horse Pike Operations LLC
NPI 1669849568ActiveOrganization· Skilled Nursing Facility· Williamstown, NJ
Skilled Nursing Facility in Williamstown, New Jersey, registered in NPPES in August 2015, part of Summit Care LLC. The authorized official on file is Michael T. Berg, Assistant Secretary.
Overview
| NPI | 1669849568 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Care LLC |
| NPI issued | Aug 26, 2015 |
| Last updated in NPPES | Apr 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | NJ |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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