TI HEALTHCARE I LLC (NPI# 1376664177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376664177 |
| Entity Type | Organization |
| Organization Name | TI HEALTHCARE I LLC |
| Other Organization Name | FOREST MANOR HEALTH CARE CENTER |
| Practice Address |
145 State Park Road Blairstown NJ 07825-4206 |
| Mailing Address |
Po Box 283 Hope NJ 07844-0283 |
| Practice Telephone | 9084594128 |
| Practice Fax Number | 9084594513 |
| Mailing Telephone | 9084594128 |
| Mailing Fax Number | 9084594513 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM A NICHOLSON (MANAGER) |
| Authorized Official Telephone | 9084594128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 062103 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9032401 | 05 |
| Other Name | Type Code |
|---|---|
| Forest Manor Health Care Center | Doing Business As Name - Organization |
| Street Address |
145 STATE PARK ROAD |
| City | BLAIRSTOWN |
| State | NJ |
| Zip Code | 07825-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598127722 | Jessi Sugar | Pharmacist | 152 Route 94, Blairstown, NJ 07825 | 2016-03-26 |
| 1043695455 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Stillwater Road, Hardwick, NJ 07825 | 2015-07-27 |
| 1073857603 | North Warren Emergency Medical Services | Ambulance | 2 Stillwater Road, Blairstown, NJ 07825 | 2012-11-20 |
| 1770728644 | Gerald Bsales | Physical Therapy Assistant | 145 State Park Rd, Blairstown, NJ 07825 | 2008-12-08 |
| 1215112271 | George B. Young | Dentist | 222 Rte. 94, Blairstown, NJ 07825 | 2008-01-08 |
| 1083893754 | Allen M Fellows | Internal Medicine | 5 Allengrove Dr, Blairstown, NJ 07825 | 2007-10-30 |
| 1083836480 | Blairstown Elementary School | Local Education Agency (LEA) | 1 Sunset Hill Rd., Blairstown, NJ 07825 | 2007-05-03 |
| 1508086869 | Robert Paul Schwartz | Dentist | 4 Cherokee Trail, Blairstown, NJ 07825 | 2007-04-27 |
| 1679654099 | Joaquin Emilio Gonzalez-melquiades | Physician Assistant | 3 Mcconachy Lane, Blairstown, NJ 07825 | 2006-10-19 |
| 1588765283 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 151 Route 94, Blairstown, NJ 07825 | 2006-09-26 |
| Find all providers in zip 07825 | ||||
| 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 |
|---|---|---|---|---|
| 1588898886 | Forest Manor Management, LLC | Skilled Nursing Facility | 145 State Park Rd, Blairstown, NJ 07825-4206 | 2009-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656202 | Bedrock Hcs At Daytona Fl LLC | Skilled Nursing Facility | 1776 Avenue of The States Ste 301, Lakewood, NJ 08701-4592 | 2020-04-01 |
| 1043847619 | Sycamore Rehabilitation and Assisted Living At East Hanover LLC | Skilled Nursing Facility | 1 S Ridgedale Ave, East Hanover, NJ 07936-3142 | 2020-03-24 |
| 1669029732 | Complete Care At Arbors, LLC | Skilled Nursing Facility | 1750 Route 37 W, Toms River, NJ 08757-2345 | 2019-08-22 |
| 1700444825 | Livingston Snf Amop, LLC | Skilled Nursing Facility | 348 E Cedar St, Livingston, NJ 07039-4221 | 2019-06-04 |
| 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 | BLAIRSTOWN |
| Zip Code | 07825 |
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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.