SUMMIT RIDGE CARE LLC (NPI# 1306318639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306318639 |
| Entity Type | Organization |
| Organization Name | SUMMIT RIDGE CARE LLC |
| Practice Address |
20 Summit St West Orange NJ 07052-1501 |
| Practice Telephone | 9737362000 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | SHALOM STEIN (AUTHORIZED REP) |
| Authorized Official Telephone | 7323130880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT RIDGE CARE LLC | 20 Summit St, West Orange, NJ 07052-1501 |
| Street Address |
20 SUMMIT ST |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154366235 | Health Resources of West Orange LLC | Skilled Nursing Facility | 20 Summit St, West Orange, NJ 07052-1501 | 2006-06-20 |
| 1194186759 | Juliana Siqueira Zielcke | Physical Therapy Assistant | 20 Summit St, West Orange, NJ 07052-1501 | 2016-03-10 |
| 1306202080 | Sara Paddock | Occupational Therapist | 20 Summit St, West Orange, NJ 07052-1501 | 2016-01-11 |
| 1841608189 | Caitlyn Marie Mcgowan | Occupational Therapist | 20 Summit St, West Orange, NJ 07052-1501 | 2014-07-31 |
| 1962845594 | Meghan Eileen Ryan | Occupational Therapist | 20 Summit St, West Orange, NJ 07052-1501 | 2013-04-13 |
| 1982998589 | Supriya A Udhoji | Occupational Therapist | 20 Summit St, West Orange, NJ 07052-1501 | 2011-06-01 |
| 1083947311 | Pascaline Ngu | Physical Therapist | 20 Summit St, West Orange, NJ 07052-1501 | 2009-09-18 |
| 1659604965 | Jennifer Rivera | Speech-Language Pathologist | 20 Summit St, West Orange, NJ 07052-1501 | 2009-09-18 |
| 1043447717 | Kenneth C Grosso | Physical Therapy Assistant | 20 Summit St, West Orange, NJ 07052-1501 | 2009-06-19 |
| 1609003474 | Lyndsey Rose Williams | Physical Therapy Assistant | 20 Summit St, West Orange, NJ 07052-1501 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| 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 |
|---|---|---|---|---|
| 1184916686 | Genesis Healthcare | Skilled Nursing Facility | 20 Summit Str, West Orange, NJ 07052 | 2011-05-03 |
| 1154366235 | Health Resources of West Orange LLC | Skilled Nursing Facility | 20 Summit St, West Orange, NJ 07052-1501 | 2006-06-20 |
| 1386688141 | St Cloud Operations LLC | Skilled Nursing Facility | 5 Brook End Dr, West Orange, NJ 07052-1303 | 2006-06-15 |
| 1306842745 | Stratford Manor Care & Rehabilitation Center LLC | Skilled Nursing Facility | 787 Northfield Ave, West Orange, NJ 07052-1131 | 2005-06-21 |
| 1184089427 | Stratford Manor Rehabilitation and Care Center LLC | Skilled Nursing Facility | 787 Northfield Ave, West Orange, NJ 07052-1131 | 2015-12-30 |
| 1912276882 | Stratford Manor Rehabilitation and Care Center LLC | Skilled Nursing Facility | 787 Northfield Ave, West Orange, NJ 07052-1131 | 2011-12-22 |
| 1275717571 | 20 Summit Street Operations LLC | Skilled Nursing Facility | 20 Summit St, West Orange, NJ 07052-1501 | 2007-12-21 |
| 1952463044 | Daughters of Israel, Inc. | Skilled Nursing Facility | 1155 Pleasant Valley Way, West Orange, NJ 07052 | 2006-12-14 |
| 1073674453 | Daughters of Israel Inc | Skilled Nursing Facility | 1155 Pleasant Valley Way, West Orange, NJ 07052 | 2006-12-12 |
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| 1669029732 | Complete Care At Arbors, LLC | Skilled Nursing Facility | 1750 Route 37 W, Toms River, NJ 08757-2345 | 2019-08-22 |
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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 | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.