PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC (NPI# 1124407903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407903 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC |
| Other Organization Name | THE DWELLING PLACE AT SAINT CLARE'S |
| Practice Address |
400 W Blackwell St Dover NJ 07801-2525 |
| Mailing Address |
3300 E Guasti Rd Third Floor Ontario CA 91761-8655 |
| Practice Telephone | 9739893000 |
| Mailing Telephone | 9092354300 |
| Mailing Fax Number | 9092354419 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MICHAEL HEATHER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9092354300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Dwelling Place at Saint Clare's | 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 |
| 1902286172 | Prime Healthcare Services - Saint Clare's LLC | Psychiatric Unit | 130 Powerville Rd, Boonton Township, NJ 07005-8705 | 2015-06-03 |
| 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 |
| Street Address |
400 W BLACKWELL ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1871114231 | Mate Kalapos | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-27 |
| 1376162636 | Jenna T Devita | Registered Nurse | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-15 |
| 1649836925 | Zaineb Shamim | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2019-05-13 |
| 1295214013 | Shellalyn Ito-lucas | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2018-08-13 |
| 1497297063 | Aleksandra Dontsova | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-11-14 |
| 1245782879 | Maria Armie Ladores Pacheco-te | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-10-31 |
| 1770948846 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-12-16 |
| 1275918609 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-07-28 |
| 1477809507 | Integrated Hospital Medicine | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2012-07-26 |
| 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.