| Organization Name: | COLUMBUS HOSPITAL LTACH, LLC |
| NPI Number: | 1205111028 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD BURGUILLOS (CFO) |
| Mailing Address: | 495 N 13th Street Newark |
| State: | NJ US |
| Postal Code: | 071071317 |
| Phone Number: | 9735877777 |
| Fax Number: | 9735877830 |
| NPI Enumeration Date: | 10/12/2011 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | 24009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |