OrganizationActive
1165 Easton Avenue Operations LLC
NPI 1568839710 · Skilled Nursing Facility · Somerset, NJ
Provider details
- NPI number
- 1568839710
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Summit Care LLC
- Organization subpart
- Yes
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4742
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
1165 Easton Ave
Somerset, NJ 08873-1613
Phone: (732) 246-4100
Fax: (732) 246-4101
Approximate (ZIP-level) locationGet directions
Mailing address
1165 Easton Ave
Somerset, NJ 08873-1613
Other names (DBA / former)
- Doing business as
- Willow Creek Rehabilitation and Care Center
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.