MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC (NPI# 1114962073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114962073 |
| Entity Type | Organization |
| Organization Name | MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC |
| Other Organization Name | MANORCARE HEALTH SERVICES |
| Practice Address |
550 Jessup Rd Paulsboro NJ 08066-1921 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 8568489551 |
| Practice Fax Number | 8568481817 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 060807 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4478509 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services | Doing Business As Name - Organization |
| Street Address |
550 JESSUP RD |
| City | PAULSBORO |
| State | NJ |
| Zip Code | 08066-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174734222 | Lisa K Carroll | Occupational Therapist | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-05-24 |
| 1134339666 | Sheetal Parikh | Occupational Therapist | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-05-23 |
| 1942412408 | Joanna Marie Rodman | Speech-Language Pathologist | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-05-04 |
| 1881810646 | Kenneth Daniel Hollingsworth | Physical Therapist | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-04-18 |
| 1285757682 | Annette Cynthia Schunk | Occupational Therapy Assistant | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-04-09 |
| 1164540399 | Nadia Mudasir | Occupational Therapist | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-03-26 |
| 1063538262 | Joseph Stephen Hart | Occupational Therapy Assistant | 550 Jessup Rd, Paulsboro, NJ 08066-1921 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
| 1659446169 | Delaware Valley Physicians & Surgeons | Specialist | 559 Mantua Ave, Paulsboro, NJ 08066 | 2006-11-21 |
| 1114954054 | Anthony William Villare | Family Medicine | 560 Mantua Ave, Paulsboro, NJ 08066 | 2006-06-27 |
| 1336182013 | Steven Andrew Litz | Specialist | 600 Jessup Road, Ste 102, West Deptford, NJ 08066 | 2006-06-13 |
| 1760721682 | Board of Education of The Borough of Paulsboro | Local Education Agency (LEA) | 662 N Delaware St, Paulsboro, NJ 08066-1020 | 2013-02-13 |
| 1104206119 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2015-06-04 |
| 1407412158 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Lincoln Ave, Paulsboro, NJ 08066-1132 | 2019-05-17 |
| 1295837722 | Gloucester Physical Therapy, PC | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2006-09-04 |
| 1326190653 | Maikutlo B Kebaetse | Physical Therapist | 541 Mantua Ave, Paulsboro, NJ 08066-1178 | 2007-01-17 |
| 1922029115 | Dr.gary B Budman and Associates | Dentist | 737 Billings Ave, Paulsboro, NJ 08066-1216 | 2006-07-22 |
| Find all providers in zip 08066 | ||||
| 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. |
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| 1669029732 | Complete Care At Arbors, LLC | Skilled Nursing Facility | 1750 Route 37 W, Toms River, NJ 08757-2345 | 2019-08-22 |
| 1700444825 | Livingston Snf Amop, LLC | Skilled Nursing Facility | 348 E Cedar St, Livingston, NJ 07039-4221 | 2019-06-04 |
| 1639631104 | West Salem Operations LLC | Skilled Nursing Facility | 23 Shenandoah Dr, Lakewood, NJ 08701-4979 | 2019-04-03 |
| 1710441704 | Autumn Management LLC | Skilled Nursing Facility | 4201 Route 9, Howell, NJ 07731-3308 | 2019-01-24 |
| 1891274197 | Crest Pointe Operator LLC | Skilled Nursing Facility | 1515 Hulse Road, Point Pleasant, NJ 08742 | 2018-08-08 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1588163539 | Sinam | Skilled Nursing Facility | 153 Virginia St, Hillside, NJ 07205-2805 | 2018-02-06 |
| 1841701117 | Hmh Residential Care, Inc | Skilled Nursing Facility | 1725 Meridian Trl, Wall Township, NJ 07719-3869 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
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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.