CPL PARK MANOR LLC (NPI# 1073594511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073594511 |
| Entity Type | Organization |
| Organization Name | CPL PARK MANOR LLC |
| Other Organization Name | PARK MANOR NURSING AND REHABILITATION CENTER |
| Practice Address |
23 Park Place Bloomfield NJ 07003-3513 |
| Mailing Address |
538 Preston Avenue Suite 270 Meriden CT 06450-4851 |
| Practice Telephone | 9737437772 |
| Practice Fax Number | 9737438053 |
| Mailing Telephone | 2036086100 |
| Mailing Fax Number | 2036393574 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-07-27 |
| Authorized Official Name | CAROLE M SCILLIA (OFFICE MANAGER) |
| Authorized Official Telephone | 2036086100 |
| Authorized Official Credential | LLC MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 060716 | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Manor Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
23 PARK PLACE |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285851998 | Duncaster Incorporated | Skilled Nursing Facility | 10 Loeffler Rd, Bloomfield, CT 06002-2256 | 2007-04-20 |
| 1649338567 | Bloomfield Health Care Center of Connecticut LLC | Skilled Nursing Facility | 355 Park Ave, Bloomfield, CT 06002-3105 | 2006-12-04 |
| 1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
| 1437102068 | Davis County Hospital | Skilled Nursing Facility | 509 N Madison St, Bloomfield, IA 52537-1271 | 2006-05-17 |
| 1477504934 | Ggnsc Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2006-05-12 |
| 1114991437 | Job Haines Home for Aged People | Skilled Nursing Facility | 250 Bloomfield Ave, Bloomfield, NJ 07003-5689 | 2006-02-14 |
| 1174525760 | Abcm Corporation | Skilled Nursing Facility | 800 N Davis St, Bloomfield, IA 52537-1107 | 2005-08-12 |
| 1174526099 | Health Care Investors, Inc. D/b/a/ Alexandria Manor | Skilled Nursing Facility | 55 Tunxis Ave, Bloomfield, CT 06002-2005 | 2005-05-24 |
| 1134607690 | 803 Hacienda Lane Operations LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2018-08-06 |
| 1477008779 | N & R of Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2016-08-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.