TAG SENIOR CARE LLC (NPI# 1457593444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457593444 |
| Entity Type | Organization |
| Organization Name | TAG SENIOR CARE LLC |
| Other Organization Name | CLOVER REST HOME |
| Practice Address |
28 Washington St Columbia NJ 07832-2324 |
| Practice Telephone | 9084964307 |
| Mailing Telephone | 9084964307 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | ALVAN SMALL (ADMINISTRATOR) |
| Authorized Official Telephone | 7328415483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 62104 | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Clover Rest Home | Doing Business As Name - Organization |
| Street Address |
28 WASHINGTON ST |
| City | COLUMBIA |
| State | NJ |
| Zip Code | 07832-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033194626 | Clover Rest Home Inc | Skilled Nursing Facility | 28 Washington St, Columbia, NJ 07832-2324 | 2005-12-07 |
| 1558969105 | Lighthouse Clover LLC | Skilled Nursing Facility | 28 Washington St, Columbia, NJ 07832-2324 | 2020-10-15 |
| 1568702165 | Florentina Baento Minong | Physical Therapist | 28 Washington St, Columbia, NJ 07832-2324 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697679 | The Arc, Warren County Chapter, Inc. | Respite Care | 44 Koeck Road, Columbia, NJ 07832 | 2017-02-08 |
| 1104201540 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 Route 94, Columbia, NJ 07832 | 2015-07-28 |
| 1700079878 | Tammy A. Strunk | Occupational Therapy Assistant | 28 Washington Street, Columbia, NJ 07832 | 2007-08-22 |
| 1821203753 | Nicole Lee Van Orden | Occupational Therapy Assistant | 58 Washington Street, Columbia, NJ 07832 | 2007-05-14 |
| 1811983745 | Walter R Grote | Internal Medicine | 5 Eisenhower Road, Columbia, NJ 07832 | 2005-09-26 |
| 1992082234 | Ashley Lynn Mahaffey | Physical Therapist | 210 Route 94, Columbia, NJ 07832 | 2011-11-15 |
| 1891213690 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Koeck Rd, Columbia, NJ 07832-2007 | 2017-09-01 |
| 1639592322 | Kathleen Ann Garriques | Nutritionist | 11 Riverview Ave, Columbia, NJ 07832-2030 | 2014-01-30 |
| 1538716246 | Sam's Hope, Incorporated | Day Training, Developmentally Disabled Services | 3 Knowlton Rd, Columbia, NJ 07832-2207 | 2019-08-19 |
| 1003192170 | Roma Rosas Dizon | Physical Therapist | 95 Delaware Rd, Columbia, NJ 07832-2301 | 2011-11-02 |
| Find all providers in zip 07832 | ||||
| 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 |
|---|---|---|---|---|
| 1578088183 | Columbia Post Acute, LLC | Skilled Nursing Facility | 3535 Berrywood Dr, Columbia, MO 65201-6584 | 2017-08-04 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1427436328 | Susquehanna Operator, LLC | Skilled Nursing Facility | 745 Old Chiques Hill Rd, Columbia, PA 17512-8401 | 2015-05-12 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1013231794 | The Oaks of Blythewood, Inc. | Skilled Nursing Facility | 1075 Heather Green Drive, Columbia, SC 29229-0000 | 2010-03-24 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1487836656 | Columbia Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1506 N Main St, Columbia, MS 39429-2070 | 2007-11-29 |
| 1457483398 | Dorn Veterans Hospital | Skilled Nursing Facility | 3509 Lake Ave Apt 2132, Columbia, SC 29206-5111 | 2007-03-09 |
| 1659406668 | White Oak Manor Inc | Skilled Nursing Facility | 3001 Beechaven Rd, Columbia, SC 29204-2701 | 2007-02-22 |
| 1205961810 | Dynamic Columbia Operating Company LLC | Skilled Nursing Facility | 1506 North Main Street, Columbia, MS 39429-2070 | 2007-02-22 |
| Find all providers in COLUMBIA | ||||
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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.