LORI GAINES MCCULLOM (NPI# 1134406762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134406762 |
| Entity Type | Individual |
| Full Name | LORI GAINES MCCULLOM |
| Credential | OTR |
| Practice Address |
25 E Lindsley Rd Cedar Grove NJ 07009-1023 |
| Practice Telephone | 9732567220 |
| Practice Fax Number | 9732564723 |
| Mailing Telephone | 9732567220 |
| Mailing Fax Number | 9732564723 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 46TR00355900 | NJ | Nursing & Custodial Care Facilities |
| Street Address |
25 E LINDSLEY RD |
| City | CEDAR GROVE |
| State | NJ |
| Zip Code | 07009-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931787 | Pompton Care, LLC | Skilled Nursing Facility | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2006-05-22 |
| 1366904476 | Janine Ricca | Speech-Language Pathologist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2019-04-05 |
| 1134639511 | John T Howard | Occupational Therapist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2017-10-11 |
| 1447769484 | Sarah E Schulz | Speech-Language Pathologist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2017-09-21 |
| 1740641208 | Melanie Decastro | Occupational Therapist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2016-03-11 |
| 1497138333 | Michael Wahrsager | Speech-Language Pathologist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2015-07-08 |
| 1851793103 | Katherine Whitehouse | Occupational Therapist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2014-09-18 |
| 1871906305 | Nicole Hessian | Occupational Therapist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2014-06-02 |
| 1710397310 | Kathryn Wiker Bradley | Speech-Language Pathologist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2014-05-05 |
| 1801230735 | Ajita Sawant | Occupational Therapist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770129975 | Essex Regional Educational Services Commission | Day Training/Habilitation Specialist | 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 | 2019-11-22 |
| 1861933285 | Kenael Segal | Physical Therapist | 6 Pompton Ave Ste 12, Cedar Grove, NJ 07009 | 2017-03-17 |
| 1477940906 | Laureen Pinal | Family Medicine | 480 Pompton Ave, Cedar Grove, NJ 07009 | 2015-04-22 |
| 1942515259 | Karin I Johnson | Acupuncturist | 96 Bowden Rd, Cedar Grove, NJ 07009 | 2010-08-11 |
| 1437309663 | Michael Jay Shoobs | Dentist | 433 Pompton Avenue, Cedar Grove, NJ 07009 | 2008-09-24 |
| 1821297953 | Alicia Seid | Speech-Language Pathologist | 389 Pompton Avenue, Cedar Grove, NJ 07009 | 2007-07-18 |
| 1891994166 | Lorraine Chorazy | Acupuncturist | 96 Bowdan Rd, Cedar Grove, NJ 07009 | 2007-07-16 |
| 1447472063 | Jessica L. Blum | Physical Therapist | 25 East Lindsley Road, Cedar Grove, NJ 07009 | 2007-05-03 |
| 1588782718 | Annie Elizabeth Klinger | Physical Therapist | Pompton Ave. & East Lindsley Rd., Cedar Grove, NJ 07009 | 2007-03-26 |
| 1053458018 | Dennis L. Aponte | Internal Medicine | 225 60th St, West New York, NJ 07009 | 2007-01-31 |
| Find all providers in zip 07009 | ||||
| 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 |
|---|---|---|---|---|
| 1710931787 | Pompton Care, LLC | Skilled Nursing Facility | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2006-05-22 |
| 1912996182 | St. Joseph's Hospital and Medical Center | Skilled Nursing Facility | 315 E Lindsley Rd, Cedar Grove, NJ 07009-1152 | 2005-10-19 |
| 1841287083 | Cg Healthcare LLC | Skilled Nursing Facility | 110 Grove Ave, Cedar Grove, NJ 07009-1436 | 2005-10-03 |
| 1407852833 | Canterbury At Cedar Grove Care & Rehabilitation Center LLC | Skilled Nursing Facility | 398 Pompton Ave, Cedar Grove, NJ 07009-1813 | 2005-06-21 |
| 1386056885 | Sonya Mckinney | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2014-06-02 |
| 1336432178 | Manesh Paul | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2011-05-26 |
| 1871750679 | Marianna Roman | Skilled Nursing Facility | 315 E Lindsley Rd, Cedar Grove, NJ 07009-1152 | 2008-05-20 |
| 1689858078 | 25 East Lindsley Road Operations LLC | Skilled Nursing Facility | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2007-12-21 |
| 1255515557 | 536 Ridge Road Operations LLC | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2007-12-21 |
| 1861438335 | Health Resources of Cedar Grove Inc | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2006-06-21 |
| Find all providers in CEDAR GROVE | ||||
| City | CEDAR GROVE |
| Zip Code | 07009 |
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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.