LAKEVIEW SUBACUTE CARE CENTER, INC. (NPI# 1215057831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215057831 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW SUBACUTE CARE CENTER, INC. |
| Practice Address |
130 Terhune Dr Wayne NJ 07470-7104 |
| Practice Telephone | 9736165815 |
| Practice Fax Number | 9736162768 |
| Mailing Telephone | 9736165815 |
| Mailing Fax Number | 9736162768 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD FRANK GROSSO JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 9736165815 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 61610 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 0047847 | 01 | |
| AETNA USHC | 0047847 | 01 | |
| AMERIHEALTH | 4552 | 01 | |
| AMERIGROUP | 92624 | 01 | |
| OXFORD HEALTH | ANC268 | 01 | |
| CIGNA | CV09616 | 01 | |
| NJ | BLUE CROSS BLUE SHIELD | 315110 | 01 |
| NJ | 4496205 | 05 |
| Street Address |
130 TERHUNE DR |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728195 | Nj Healthcare Facilities Management, LLC | Skilled Nursing Facility | 130 Terhune Dr, Wayne, NJ 07470-7104 | 2017-02-06 |
| 1871950600 | Tri-state Healthcare Management LLC | Skilled Nursing Facility | 130 Terhune Dr, Wayne, NJ 07470-7104 | 2016-01-25 |
| 1972988103 | Tri-state Healthcare Management LLC | Skilled Nursing Facility | 130 Terhune Dr, Wayne, NJ 07470-7104 | 2015-07-29 |
| 1437405289 | Nj Healthcare Facilities Management LLC | Skilled Nursing Facility | 130 Terhune Dr, Wayne, NJ 07470-7104 | 2012-07-31 |
| 1861644437 | Np Solutions LLC | Nurse Practitioner | 130 Terhune Dr, Wayne, NJ 07470-7104 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1225492705 | 2020 Route 23 Operating Company LLC | Skilled Nursing Facility | 2020 Route 23, Wayne, NJ 07470-6521 | 2016-04-11 |
| 1336524248 | 261 Terhune Drive Operations LLC | Skilled Nursing Facility | 261 Terhune Dr, Wayne, NJ 07470-7105 | 2015-07-22 |
| 1184751315 | Regency Gardens Nursing Center LLC | Skilled Nursing Facility | 296 Hamburg Turnpike, Wayne, NJ 07470 | 2007-02-27 |
| 1255497194 | Wayne Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Rr 1 Box 1372, Wayne, WV 25570-9724 | 2006-12-28 |
| 1912015223 | Wayne View Corp | Skilled Nursing Facility | 2020 Route 23 North, Wayne, NJ 07470 | 2006-08-27 |
| 1538277272 | Kz Corporation | Skilled Nursing Facility | 1120 Alps Rd, Wayne, NJ 07470-3704 | 2006-08-25 |
| 1881628345 | Mega Care Inc. | Skilled Nursing Facility | 1140 Black Oak Ridge Rd, Wayne, NJ 07470-6347 | 2006-07-10 |
| 1346286200 | Mid County Senior Services Inc | Skilled Nursing Facility | 30 West Ave, Wayne, PA 19087-3322 | 2006-06-21 |
| 1205874104 | Wayne Healthcare LLC | Skilled Nursing Facility | 34330 Van Born Rd, Wayne, MI 48184-2472 | 2006-06-03 |
| Find all providers in WAYNE | ||||
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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.