CHRISTIAN HEALTH CARE CENTER (NPI# 1154429546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154429546 |
Entity Type | Organization |
Organization Name | CHRISTIAN HEALTH CARE CENTER |
Other Organization Name | CHRISTIAN HEALTH CARE ADULT DAY CARE CENTER |
Practice Address |
2000 Siena Vlg Wayne NJ 07470-3590 |
Mailing Address |
301 Sicomac Ave Wyckoff NJ 07481-2159 |
Practice Telephone | 9733059155 |
Practice Fax Number | 9733059730 |
Mailing Telephone | 2018485200 |
Mailing Fax Number | 2018485493 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. KEVIN STAGG (EXECUTIVE VICE PRESIDENT CFO) |
Authorized Official Telephone | 2018485200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
708111 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 9103309 | 05 |
Other Name | Type Code |
---|---|
Christian Health Care Adult Day Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578667796 | Christian Health Care Center | Skilled Nursing Facility | 855 Aaron Drive, Lynden, WA 98264-9396 | 2006-09-08 |
1427047232 | Christian Health Care Center | Skilled Nursing Facility | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2005-10-14 |
1851487334 | Christian Health Care Center | Clinic/Center | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
1922194331 | Christian Health Care Center | Intermediate Care Facility, Mental Illness | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
1942396411 | Christian Health Care Center | Assisted Living Facility | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
1114916954 | Christian Health Care Center | Psychiatric Hospital | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2005-10-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CHRISTIAN HEALTH CARE CENTER | 855 Aaron Dr, Lynden, WA 98264-9396 |
Street Address |
2000 SIENA VLG |
City | WAYNE |
State | NJ |
Zip Code | 07470-3590 |
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1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
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Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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1497217939 | Care Forever Adult Day Care Center LLC | Clinic/Center | 7 Progress St, Edison, NJ 08820-1102 | 2019-04-03 |
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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.