SOUTH CENTER STREET NURSING LLC (NPI# 1245272723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245272723 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTER STREET NURSING LLC |
| Other Organization Name | POPE JOHN PAUL II PAVILION |
| Practice Address |
135 S Center St Orange NJ 07050-3522 |
| Mailing Address |
14c 53rd St Suite 220 Brooklyn NY 11232-2644 |
| Practice Telephone | 9732663200 |
| Practice Fax Number | 9732663302 |
| Mailing Telephone | 7185670400 |
| Mailing Fax Number | 7185670600 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MR. SAM STERN (COMPTROLLER) |
| Authorized Official Telephone | 7185670400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 062209 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6799311 | 05 | |
| NJ | 6799302 | 05 |
| Other Name | Type Code |
|---|---|
| Pope John Paul II Pavilion | Doing Business As Name - Organization |
| Street Address |
135 S CENTER ST |
| City | ORANGE |
| State | NJ |
| Zip Code | 07050-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427501584 | South Center Street Nursing, LLC | Skilled Nursing Facility | 135 S Center St, Orange, NJ 07050-3522 | 2016-07-25 |
| 1174780993 | Pope John II Pavillion | Skilled Nursing Facility | 135 S Center St, Orange, NJ 07050-3522 | 2008-05-20 |
| 1811032519 | Pope John II Pavillion | Skilled Nursing Facility | 135 S Center St, Orange, NJ 07050-3522 | 2007-02-20 |
| 1154474880 | Suburban Medical Associates | Internal Medicine | 135 S Center St, Orange, NJ 07050-3522 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574516 | Idrissa Cisse | Non-emergency Medical Transport (VAN) | 493 Valley Street, Apt 8, Orange, NJ 07050 | 2019-05-21 |
| 1487218277 | Pioneer Homecare of Nj, Inc. | Home Health | 14 South Center Street, Orange, NJ 07050 | 2019-04-26 |
| 1518521392 | Pioneer Hospice of Nj, Inc. | Hospice Care, Community Based | 14 South Center Street Unit 102, Orange, NJ 07050 | 2019-04-26 |
| 1326507500 | Jenny G Joseph | Licensed Practical Nurse | 787 Vose Ave, Apt A15, Orange, NJ 07050 | 2019-03-18 |
| 1790263309 | Bhuvaneswari Potti | Pharmacist | E & M Pharmacy, 205 S Essex Ave, Orange, NJ 07050 | 2018-08-06 |
| 1013397975 | The Arc of Essex County, Inc. | Respite Care | 46-56 Oakwood Avenue, Orange, NJ 07050 | 2015-06-05 |
| 1942688106 | Jennifer A Unger | Counselor | 395 South Center Street, Orange, NJ 07050 | 2015-05-08 |
| 1649692393 | Patricia Roc | Licensed Practical Nurse | 400 Highland Terrace, 5c, Orange, NJ 07050 | 2014-01-15 |
| 1942585443 | Najmusseher Khan | Pharmacist | 240-250 Central Ave, Orange, NJ 07050 | 2011-10-15 |
| 1558536607 | Alphonse Ronald Flora | Internal Medicine | 479 Fairview Ave, Orange, NJ 07050 | 2008-04-29 |
| Find all providers in zip 07050 | ||||
| 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 |
|---|---|---|---|---|
| 1811029069 | New Orange Hills, Inc. | Skilled Nursing Facility | 5017 E Chapman Ave, Orange, CA 92869-4211 | 2007-03-12 |
| 1942314125 | Melissa Health LLC | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2006-08-18 |
| 1518909035 | Berryman Health Inc. | Skilled Nursing Facility | 1973 N Glacier St, Orange, CA 92867-2459 | 2006-06-11 |
| 1093778128 | Fountain Care Center, LLC | Skilled Nursing Facility | 1835 West La Veta Avenue, Orange, CA 92868 | 2006-04-10 |
| 1942275706 | White House Healthcare and Rehabilitation Center Inc. | Skilled Nursing Facility | 560 Berkeley Ave, Orange, NJ 07050-2109 | 2006-02-22 |
| 1457347221 | Orange Villa Nursing and Rehabilitation Lp | Skilled Nursing Facility | 510 3rd St, Orange, TX 77630-5808 | 2005-09-27 |
| 1356337125 | Pinehurst Nursing and Rehabilitation Lp | Skilled Nursing Facility | 3000 Cardinal St, Orange, TX 77630-4737 | 2005-09-27 |
| 1699774067 | Orange County Nursing Home | Skilled Nursing Facility | 120 Dogwood Ln, Orange, VA 22960-1058 | 2005-07-19 |
| 1356967624 | Slp Orange LLC | Skilled Nursing Facility | 3000 Cardinal St, Orange, TX 77630-4737 | 2020-06-22 |
| 1437610292 | Fpacp Orange LLC | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2019-03-26 |
| Find all providers in ORANGE | ||||
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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.