REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC (NPI# 1699802835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699802835 |
| Entity Type | Organization |
| Organization Name | REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC |
| Practice Address |
65 N Sussex St Dover NJ 07801 |
| Mailing Address |
643 Cross St Lakewood NJ 08701 |
| Practice Telephone | 9733615200 |
| Practice Fax Number | 9733610375 |
| Mailing Telephone | 7327309280 |
| Mailing Fax Number | 7327308407 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | AARON STEFANSKY (CONTROLLER) |
| Authorized Official Telephone | 7327309280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 603300 | NJ | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 061423 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4491807 | 05 |
| Street Address |
65 N SUSSEX ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669948865 | Lara J Barry | Physical Therapist | 65 N Sussex St, Dover, NJ 07801-3949 | 2018-10-16 |
| 1225531254 | Lauren Haviland | Physical Medicine & Rehabilitation | 65 N Sussex St, Dover, NJ 07801-3949 | 2018-03-15 |
| 1497191449 | Azmar Ajihil | Physical Therapist | 65 N Sussex St, Dover, NJ 07801-3949 | 2013-05-17 |
| 1205109824 | Allison Ann Monroe | Occupational Therapist | 65 N Sussex St, Dover, NJ 07801-3949 | 2012-02-13 |
| 1881977973 | Mandy Vanderbeck | Occupational Therapist | 65 N Sussex St, Dover, NJ 07801-3949 | 2011-09-24 |
| 1447567383 | Kelly Clark | Occupational Therapy Assistant | 65 N Sussex St, Dover, NJ 07801-3949 | 2010-09-13 |
| 1447482567 | Lynne Carol Phillips | Physical Therapy Assistant | 65 N Sussex St, Dover, NJ 07801-3949 | 2009-08-24 |
| 1972744068 | Steven T Pickel | Physical Therapy Assistant | 65 N Sussex St, Dover, NJ 07801-3949 | 2009-03-19 |
| 1629249792 | Joanna Rojecka | Physical Therapy Assistant | 65 N Sussex St, Dover, NJ 07801-3949 | 2008-03-17 |
| 1750581393 | Dana Boyle | Occupational Therapist | 65 N Sussex St, Dover, NJ 07801-3949 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| Find all providers in zip 07801 | ||||
| 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 |
|---|---|---|---|---|
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1821178427 | Country Club Center Homes, Inc | Skilled Nursing Facility | 860 E Iron Ave, Dover, OH 44622-2031 | 2006-10-17 |
| 1114018645 | Professional Service Group LLC | Skilled Nursing Facility | 9 E Loockerman St Ste 3a, Dover, DE 19901-7316 | 2006-09-28 |
| 1467497834 | Dover Health Care Associates Inc | Skilled Nursing Facility | 1080 Silver Lake Blvd, Dover, DE 19904-2410 | 2006-06-18 |
| 1548258676 | Diversicare Leasing Corp. | Skilled Nursing Facility | 537 Spring St, Dover, TN 37058-3232 | 2005-10-12 |
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1750375473 | Park Village Health Care Center Inc | Skilled Nursing Facility | 1525 N Crater Ave, Dover, OH 44622-9558 | 2005-09-08 |
| 1306830625 | Presbyterian Homes Inc. | Skilled Nursing Facility | 1175 Mckee Rd, Dover, DE 19904-2268 | 2005-09-01 |
| 1841294832 | New Dawn Health Care Inc | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2005-06-08 |
| Find all providers in DOVER | ||||
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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.