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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174170013 | Fountains Ccrc Holding LLC | Skilled Nursing Facility | 114 Hayes Mill Rd, Atco, NJ 08004-2457 | 2019-08-26 |
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 |
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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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 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 |
---|---|---|---|---|
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 |
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---|---|---|---|---|
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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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.