ALLENDALE NURSING HOME INC (NPI# 1881623908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881623908 |
| Entity Type | Organization |
| Organization Name | ALLENDALE NURSING HOME INC |
| Practice Address |
85 Harreton Rd Allendale NJ 07401-1317 |
| Practice Telephone | 2018250660 |
| Practice Fax Number | 2018250377 |
| Mailing Telephone | 2018250660 |
| Mailing Fax Number | 2018250377 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HECTOR R GIANCARLO (PRESIDENT) |
| Authorized Official Telephone | 2018250660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 060201 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 31-5497 | 05 |
| Street Address |
85 HARRETON RD |
| City | ALLENDALE |
| State | NJ |
| Zip Code | 07401-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317267 | Charmi Y Patel | Clinic/Center | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2020-08-18 |
| 1912460544 | Brooke Schubert | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2019-04-10 |
| 1033689526 | Miguel Angel Garcia | Nurse Practitioner | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2018-11-28 |
| 1154840809 | Brittany Elizabeth Demaio | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-09-13 |
| 1306364476 | Lindsay Moran | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-09-08 |
| 1255871935 | Michelle Ray | Physical Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-03-01 |
| 1417307323 | Tara Hutto | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2016-06-21 |
| 1891154449 | Anna Leone | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2016-02-10 |
| 1427449537 | Allendale Nursing Home, Inc | Custodial Care Facility | 85 Harreton Rd, Allendale, NJ 07401 | 2015-02-11 |
| 1073843926 | Progressive Pharmacy LLC | Pharmacy | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2009-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603343 | Ediltruda N Kalikawe | Counselor | 400 Crescent Court, Allendale, NJ 07401 | 2018-09-24 |
| 1114356250 | Madalina Cornelia Mares | Physical Therapist | 49 W Allendale Ave, Allendale, NJ 07401 | 2013-11-08 |
| 1992942155 | Matthew A. Rocco | Dentist | 70 W Allendale Avenue, Allendale, NJ 07401 | 2009-01-09 |
| 1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
| 1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
| 1790823961 | Theodore A Campbell Jr. | Chiropractor | 1 Demercurio Drive, Suite #8, Allendale, NJ 07401 | 2007-02-01 |
| 1699830190 | F James Obosky Sr. | Dentist | 70 West Allendale Av, Suite C, Allendale, NJ 07401 | 2006-12-26 |
| 1457455883 | Jill E Sieverts | Marriage & Family Therapist | 70 West Allendale Avenue, Suite A, Allendale, NJ 07401 | 2006-09-07 |
| 1962427526 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 45 Demercurio Drive, Allendale, NJ 07401 | 2006-07-13 |
| 1265809370 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 45 Demercurio Drive, Allendale, NJ 07401 | 2015-08-24 |
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| 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 |
|---|---|---|---|---|
| 1871591214 | Atrium Allendale Inc. | Skilled Nursing Facility | 11007 Radcliff Dr, Allendale, MI 49401-9521 | 2005-07-11 |
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| 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 |
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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.