PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC (NPI# 1902286172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902286172 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC |
| Other Organization Name | SAINT CLARE'S HOSPITAL - BOONTON |
| Practice Address |
130 Powerville Rd Boonton Township NJ 07005-8705 |
| Mailing Address |
3300 E Guasti Rd Ontario CA 91761-8655 |
| Practice Telephone | 9733161800 |
| Mailing Telephone | 9092354400 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MR. MICHAEL HEATHER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9092354400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Saint Clare's Hospital - Boonton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015818 | Prime Healthcare Services - Saint Clare's LLC | Home Health | 191 Woodport Road, Sparta, NJ 07871-2641 | 2015-06-09 |
| 1740844158 | Prime Healthcare Services - Saint Clare's LLC | Substance Abuse Rehabilitation Facility | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2019-05-01 |
| 1770948846 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-12-16 |
| 1821469966 | Prime Healthcare Services - Saint Clare's LLC | Clinic/Center | 50 Morris Ave, Denville, NJ 07834-1735 | 2015-10-15 |
| 1497134274 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 25 Pocono Rd, Denville, NJ 07834-2954 | 2015-05-26 |
| 1598144362 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 25 Pocono Rd, Denville, NJ 07834-2954 | 2015-05-26 |
| 1124407903 | Prime Healthcare Services - Saint Clare's LLC | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-05-26 |
| Street Address |
130 POWERVILLE RD |
| City | BOONTON TOWNSHIP |
| State | NJ |
| Zip Code | 07005-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089264 | Michael Hart | Social Worker | 130 Powerville Rd, Boonton Township, NJ 07005-8705 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1053574368 | Princeton House Behavioral Health | Psychiatric Unit | 375 North Kings Highway, Cherry Hill, NJ 08034-1013 | 2008-07-07 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1285630087 | Virtua Willingboro Hospital, Inc. | Psychiatric Unit | 218a Sunset Road, Willingboro, NJ 08046-1110 | 2005-06-27 |
| 1790789212 | Ahs Hospital Corp | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2005-06-13 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1174035604 | Ahs Hospital Corp. | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2017-10-24 |
| 1790225761 | Meridian Hospitals | Psychiatric Unit | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
| City | BOONTON TOWNSHIP |
| Zip Code | 07005 |
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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.