FOUNTAINS CCRC HOLDING LLC


Address: 114 Hayes Mill Rd, Atco, NJ 08004-2457
Phone: 8567532000

FOUNTAINS CCRC HOLDING LLC (NPI# 1275184632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275184632
Entity Type Organization
Organization Name FOUNTAINS CCRC HOLDING LLC
Practice Address 114 Hayes Mill Rd
Atco
NJ 08004-2457
Practice Telephone 8567532000
Enumeration Date 2019-09-26
Last Update Date 2019-09-26
Authorized Official Name SAMUEL TENNENBAUM (OWNER)
Authorized Official Telephone 5163719500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174170013 Fountains Ccrc Holding LLC Skilled Nursing Facility 114 Hayes Mill Rd, Atco, NJ 08004-2457 2019-08-26

Office Location

Street Address 114 HAYES MILL RD
City ATCO
State NJ
Zip Code 08004-2457

Providers in the same location

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
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
1174170013 Fountains Ccrc Holding LLC Skilled Nursing Facility 114 Hayes Mill Rd, Atco, NJ 08004-2457 2019-08-26
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518359405 The Woodlands At Hayes Mill Assisted Living Facility 114 Hayes Mill Rd, Atco, NJ 08004-2457 2015-03-02
1780804963 Gateway Communities, Inc. Assisted Living Facility 114 Hayes Mill Rd, Atco, NJ 08004-2457 2007-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447859483 Somerset Senior Care, LLC Assisted Living Facility 1870 Easton Avenue, Somerset, NJ 08873 2020-10-21
1093324113 Springpoint At Manalapan, Inc. Assisted Living Facility 4814 Outlook Dr, Wall Township, NJ 07753-6812 2020-07-24
1720696222 Csh Mount Laurel Licensee, LLC Assisted Living Facility 785 Centerton Rd, Mount Laurel, NJ 08054-1607 2020-07-21
1033735121 Artis Senior Living of Princeton Junction, LLC Assisted Living Facility 861 Alexander Rd, Princeton, NJ 08540-6310 2020-06-24
1104442466 Sparta Senior Living, LLC Assisted Living Facility 3 North Village Boulevard, Sparta, NJ 07871 2020-06-23
1376176636 Fsp-waldwick Property, LLC Assisted Living Facility 245 Wyckoff Ave, Waldwick, NJ 07463-1225 2020-02-14
1417589763 Shp Vi Mountainside LLC Assisted Living Facility 1050 Springfield Ave, Mountainside, NJ 07092-2905 2020-02-05
1548891948 Compact Care Facilities Assisted Living Facility 4646 Thelma Ave, Mays Landing, NJ 08330-9579 2020-02-04
1366073140 Sjf Ccrc, Inc Assisted Living Facility 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 2020-01-30
1710524087 Engel Burman At Wayne, LLC Assisted Living Facility 1440 Hamburg Turnpike, Wayne, NJ 07470 2019-12-05
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Competitor

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City ATCO
Zip Code 08004

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Dataset Information

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.

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