MARCUS L WARD HOME, INC. (NPI# 1265948988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265948988 |
| Entity Type | Organization |
| Organization Name | MARCUS L WARD HOME, INC. |
| Other Organization Name | WINCHESTER GARDENS |
| Practice Address |
333 Elmwood Ave Maplewood NJ 07040-2491 |
| Mailing Address |
4814 Outlook Dr Ste 201 Wall Township NJ 07753-6812 |
| Practice Telephone | 9737625050 |
| Mailing Telephone | 7324303718 |
| Mailing Fax Number | 7324303711 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | SUSAN POLYARD (LTC REIMBURSEMENT SPECIALIST) |
| Authorized Official Telephone | 7324303718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Winchester Gardens | Doing Business As Name - Organization |
| Street Address |
333 ELMWOOD AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063556629 | Marcus L. Ward Home | Assisted Living Facility | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2007-02-16 |
| 1255815312 | Alexandra Burns | Occupational Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2018-09-24 |
| 1003304494 | Gabrielle Vincenza Jakub | Occupational Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2018-05-01 |
| 1538565114 | Joseph Dias | Physical Therapy Assistant | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2014-11-10 |
| 1144623380 | Rondee J Tan | Physical Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2014-10-02 |
| 1316356918 | Cheron Darlene Miller Roche | Occupational Therapist | 333 Elmwood Ave, Genesis Rehab Services, Maplewood, NJ 07040-2491 | 2014-08-07 |
| 1073752093 | Linda Chin | Physical Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2009-02-13 |
| 1205042025 | Marijo Brillantes Carino | Physical Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2007-05-16 |
| 1932315678 | Ratnesh Kumar Srivastava | Occupational Therapist | 333 Elmwood Ave, Maplewood, NJ 07040-2491 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1063754695 | Genesis Rehab Services | Skilled Nursing Facility | 84 Oakview Ave, Maplewood, NJ 07040-2304 | 2013-03-21 |
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| 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.