WILLOW CREEK REHABILITATION (NPI# 1417210642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417210642 |
| Entity Type | Organization |
| Organization Name | WILLOW CREEK REHABILITATION |
| Practice Address |
51 Oak St Fl 1 East Orange NJ 07018-2823 |
| Practice Telephone | 8622159077 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | MRS. SUSAN MCCLONE (REHAB DIRECTOR) |
| Authorized Official Telephone | 8622159077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 40QB00224700 | NJ | Nursing & Custodial Care Facilities |
| Street Address |
51 OAK ST FL 1 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| 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 |
|---|---|---|---|---|
| 1104061472 | Parkway Manor Health Center, LLC | Skilled Nursing Facility | 480 N Walnut St, East Orange, NJ 07017-4029 | 2008-12-15 |
| 1407956451 | Brookhaven Health Care Center | Skilled Nursing Facility | 120 Park End Pl, East Orange, NJ 07018-1116 | 2006-09-22 |
| 1811983166 | Garden State Nursing Home Inc. | Skilled Nursing Facility | 101 N Grove St, East Orange, NJ 07017-4712 | 2005-09-22 |
| 1932105376 | Windsor Gardens Care Center, Inc. | Skilled Nursing Facility | 140 Park Ave, East Orange, NJ 07017-5248 | 2005-06-21 |
| 1982263000 | Park Grove Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 101 N Grove St, East Orange, NJ 07017-4712 | 2019-06-12 |
| 1053677534 | Windsor Gardens Care Center | Skilled Nursing Facility | 140 Park Ave, East Orange, NJ 07017-5248 | 2012-04-09 |
| 1952464117 | Kenbrook Associates | Skilled Nursing Facility | 120 Park End Pl, East Orange, NJ 07018-1116 | 2006-12-19 |
| 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 | EAST ORANGE |
| Zip Code | 07018 |
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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.