WOODBINE SENIOR LIVING, LLC (NPI# 1477952695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477952695 |
| Entity Type | Organization |
| Organization Name | WOODBINE SENIOR LIVING, LLC |
| Other Organization Name | SPRING VILLAGE AT GALLOWAY |
| Practice Address |
46 W Jimmie Leeds Rd Galloway NJ 08205-9401 |
| Practice Telephone | 6064041099 |
| Practice Fax Number | 6094041477 |
| Mailing Telephone | 6064041099 |
| Mailing Fax Number | 6094041477 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | MR. JEFF TUITE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6094041099 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODBINE SENIOR LIVING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 01A004 | NJ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Village at Galloway | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WOODBINE SENIOR LIVING, LLC | 900 Osprey Street, Venice, FL 34285 |
| Street Address |
46 W JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851794838 | Jimmie Leeds Senior Care, LLC | Assisted Living Facility | 46 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952435216 | Cnl Galloway, LLC | Assisted Living Facility | 42 W Jimmie Leeds Rd., Galloway, NJ 08753 | 2007-03-16 |
| 1821122276 | Cnl Galloway, LLC | Assisted Living Facility | 46 West Jimmie Leeds Rd., Galloway, NJ 08753 | 2007-03-16 |
| 1528052412 | Hebrew Old Age Center of Atlantic City | Assisted Living Facility | 22 W Jimmie Leeds Rd, Galloway, NJ 08205-9422 | 2005-09-07 |
| 1144846346 | Hebrew Old Age Center of Atlantic City | Assisted Living Facility | 22 W Jimmie Leeds Rd, Galloway, NJ 08205-9422 | 2020-06-23 |
| 1851794838 | Jimmie Leeds Senior Care, LLC | Assisted Living Facility | 46 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2014-10-03 |
| 1376946947 | Jimmie Leeds Senior Care, LLC | Assisted Living Facility | 42 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2014-09-26 |
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|---|---|---|---|---|
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| 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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| 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.