PRIME CARE ONE, LLC (NPI# 1265586549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265586549 |
| Entity Type | Organization |
| Organization Name | PRIME CARE ONE, LLC |
| Other Organization Name | BRIGHTON GARDENS OF MIDDLETOWN |
| Practice Address |
620 State Route 35 Middletown NJ 07748-4224 |
| Practice Telephone | 7322750790 |
| Mailing Telephone | 7322750790 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID WOODWARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7322750790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 55A001 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6911617 | 05 |
| Other Name | Type Code |
|---|---|
| Brighton Gardens of Middletown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617529 | Prime Care One, LLC | Assisted Living Facility | 211 Danbury Rd, Wilton, CT 06897-4005 | 2019-09-11 |
| 1912052622 | Prime Care One, LLC | Assisted Living Facility | 6000 Park Avesouth, Charlotte, NC 28210 | 2007-01-24 |
| 1831243120 | Prime Care One, LLC | Assisted Living Facility | 1350 Us Highway 22, Mountainside, NJ 07092-2614 | 2007-01-23 |
| 1447327648 | Prime Care One, LLC | Skilled Nursing Facility | 950 Pinebrook Rd, Venice, FL 34285-7147 | 2006-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PRIME CARE ONE, LLC | 10401 North Meridian Street, Ste. 122, Ste 122, Indianapolis, IN 46290 |
| Street Address |
620 STATE ROUTE 35 |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114149382 | Kenneth Micko | Physical Therapist | 620 State Route 35, Middletown, NJ 07748-4224 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1992112403 | Garden Manor Terrace, Inc. | Assisted Living Facility | 6898 Hamilton Middletown Rd, Middletown, OH 45044-7859 | 2014-07-16 |
| 1194069484 | The Eliot Management Group LLC | Assisted Living Facility | 12 John St, Middletown, NY 10940-4900 | 2012-11-27 |
| 1457607459 | C. Diederick Van Der Velde | Assisted Living Facility | 3000 Mcgee Ave, Middletown, OH 45044-4991 | 2012-07-27 |
| 1013213974 | Pram/middletown Te, LLC | Assisted Living Facility | 3851 Towne Blvd, Middletown, OH 45005-5595 | 2011-02-09 |
| 1003057738 | Close To Home II, LLC | Assisted Living Facility | 3712 Roosevelt Blvd, Middletown, OH 45044-6515 | 2009-03-09 |
| 1225275860 | Serenity Gardens Recuperation Center | Assisted Living Facility | 207 Ruth Dr, Middletown, DE 19709-9470 | 2009-01-20 |
| 1851414585 | Luther Ridge At Middletown, Inc | Assisted Living Facility | 628 Congdon St W, Middletown, CT 06457-7939 | 2007-04-09 |
| 1649212044 | Middlesex Health Services, Inc. | Assisted Living Facility | 1 Macdonough Pl, Middletown, CT 06457-3607 | 2006-06-11 |
| 1710592605 | Hamlet At Wallkill | Assisted Living Facility | 21 Riverside Dr, Middletown, NY 10941-4048 | 2020-09-09 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
Please comment or provide details below to improve the information on PRIME CARE ONE, LLC.
| 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.