LUTHERAN SOCIAL MINISTRIES AT CRANE'S MILL, INC. (NPI# 1376533554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376533554 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL MINISTRIES AT CRANE'S MILL, INC. |
| Practice Address |
459 Passaic Ave West Caldwell NJ 07006-7457 |
| Mailing Address |
6 Terri Ln Suite 300 Burlington NJ 08016-4905 |
| Practice Telephone | 9732766700 |
| Practice Fax Number | 9732763003 |
| Mailing Telephone | 6093867171 |
| Mailing Fax Number | 6093862305 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | JERRY NUGENT (PRESIDENT & CEO) |
| Authorized Official Telephone | 6093867171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 306300 | NJ | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 30A005 | NJ | Nursing & Custodial Care Facilities |
| Street Address |
459 PASSAIC AVE |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 07006-7457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851938484 | Lissamma Francis | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2019-12-02 |
| 1568974970 | Barbara Ahern | Internal Medicine | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-26 |
| 1629588157 | Anitha Abraham | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-11 |
| 1023533510 | Siddhita Parekh | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-08-07 |
| 1952775025 | Marcela K Jimenez | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2015-11-30 |
| 1811391170 | Jason Peter Cecilio | Physical Therapy Assistant | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-10-15 |
| 1043625643 | Rebecca Kojchev | Speech-Language Pathologist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-23 |
| 1083027452 | Corey Condon | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-03 |
| 1831512409 | Iris Gilen Maravilla Gomez | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-02-01 |
| 1730447392 | Susan Guydish | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2012-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| 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] |
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| 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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| City | WEST CALDWELL |
| Zip Code | 07006 |
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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.