FOUNTAINS CCRC HOLDING LLC (NPI# 1174170013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174170013 |
| Entity Type | Organization |
| Organization Name | FOUNTAINS CCRC HOLDING LLC |
| Practice Address |
114 Hayes Mill Rd Atco NJ 08004-2457 |
| Practice Telephone | 8567532000 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | SAMUEL TENNENBAUM (OWNER) |
| Authorized Official Telephone | 5163719500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184632 | Fountains Ccrc Holding LLC | Assisted Living Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-09-26 |
| Street Address |
114 HAYES MILL RD |
| City | ATCO |
| State | NJ |
| Zip Code | 08004-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073555272 | Gateway Communities Inc | Skilled Nursing Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2006-06-12 |
| 1356989628 | Rosemarie Smith | Speech-Language Pathologist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-12-17 |
| 1275184632 | Fountains Ccrc Holding LLC | Assisted Living Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-09-26 |
| 1497305825 | Mary Ellen Beckwold | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-09-17 |
| 1649828963 | Janelle Rosales | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-08-29 |
| 1699256420 | Michael Gerard Simon | Physical Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2018-08-29 |
| 1730668203 | Alex Salunga | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2018-08-07 |
| 1902325582 | Kimberly Lipstas | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2017-09-14 |
| 1356879951 | Elizabeth A Pinto | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2017-05-25 |
| 1487103248 | Jenna Onorato | Occupational Therapist | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2016-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374127 | Oaks Integrated Care | Clinic/Center | 1022 A Martha Blvd, Atco, NJ 08004 | 2017-09-01 |
| 1093266421 | Rasheeda Jones | Counselor | 226 Camden Avenue, Atco, NJ 08004 | 2016-10-20 |
| 1821478280 | Rashawn Smith | Counselor | 45 Pinehurst Dr, Atco, NJ 08004 | 2015-06-01 |
| 1326389024 | Winslow Township School District | Local Education Agency (LEA) | 40 Coopers Folly Rd, Atco, NJ 08004 | 2013-03-06 |
| 1326248352 | Fu Mei Medical Supply | Durable Medical Equipment & Medical Supplies | 437 Fourth St, Atco, NJ 08004 | 2007-07-18 |
| 1871641639 | Robert Cavallaro | Chiropractor | 459 Jackson Road, Atco, NJ 08004 | 2007-01-08 |
| 1861415366 | Elena K Wellens | Podiatrist | 277 White Horse Pike, Suite 101, Atco, NJ 08004 | 2006-07-25 |
| 1831163237 | Robert F Mazzuca | Family Medicine | 501 Fifth St, Ste A, Atco, NJ 08004 | 2006-02-14 |
| 1124530993 | Arc of Camden County- Hayes Mill Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 213 D, Atco, NJ 08004 | 2017-11-01 |
| 1821338856 | Monica Garcia | Pharmacist | 375 White Horse Pike, Atco, NJ 08004 | 2013-02-28 |
| Find all providers in zip 08004 | ||||
| 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 |
|---|---|---|---|---|
| 1073555272 | Gateway Communities Inc | Skilled Nursing Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2006-06-12 |
| 1396176434 | The Woodlands At Hayes Mill, LLC | Skilled Nursing Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2013-11-27 |
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|---|---|---|---|---|
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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 |
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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.