HOLY NAME MEDICAL CENTER (NPI# 1396037149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396037149 |
| Entity Type | Organization |
| Organization Name | HOLY NAME MEDICAL CENTER |
| Other Organization Name | VILLA MARIE CLAIRE |
| Practice Address |
12 Saddle River Rd Saddle River NJ 07458 |
| Mailing Address |
718 Teaneck Rd Teaneck NJ 07666-4245 |
| Practice Telephone | 2018333188 |
| Practice Fax Number | 2015307900 |
| Mailing Telephone | 2012276055 |
| Mailing Fax Number | 2015307900 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | RYAN KENNEDY (VP & CFO) |
| Authorized Official Telephone | 2018337016 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY NAME MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 02C011 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0262749 | 05 |
| Other Name | Type Code |
|---|---|
| Villa Marie Claire | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022481 | Holy Name Medical Center | Pharmacy | 718 Teaneck Rd, Pharmacy Dept., Teaneck, NJ 07666-4245 | 2015-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOLY NAME MEDICAL CENTER, INC. | 718 Teaneck Rd, Teaneck, NJ 07666-4245 |
| Street Address |
12 SADDLE RIVER RD |
| City | SADDLE RIVER |
| State | NJ |
| Zip Code | 07458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430719 | Michele Rebecca Resnick | Social Worker | 128 Dimmig Road, Upper Saddle River, NJ 07458 | 2017-07-25 |
| 1114177862 | Allwyn Joseph Levine | Psychiatry & Neurology | 8 Red Rock Trail, Saddle River, NJ 07458 | 2008-09-30 |
| 1346373420 | Sharon George | Physical Therapist | 2 Ginkgo Court, Upper Saddle River, NJ 07458 | 2007-03-14 |
| 1629132980 | Jerome David Goodman | Psychiatry & Neurology | 45 West Saddle River Road, Saddle River, NJ 07458 | 2006-12-21 |
| 1881757789 | Thomas H Hafner | Dentist | 415 W Saddle River Road, Upper Saddle River, NJ 07458 | 2006-12-19 |
| 1023187143 | Alyssa Gelmann Becker | Internal Medicine | 82 East Allendale Road, Suite 3a, Saddle River, NJ 07458 | 2006-11-06 |
| 1013002948 | Thomas Cord Lohmann | Dentist | 148 W Saddle River Rd, Saddle River, NJ 07458 | 2006-10-04 |
| 1285727925 | Saima Sattar Shahid | Optometrist | 330 West Saddle River Road, Upper Saddle River, NJ 07458 | 2006-10-02 |
| 1023072022 | Robert A Hands Jr Md Pa | Pediatrics | 331 E Saddle River Rd, Upper Saddle River, NJ 07458 | 2006-04-14 |
| 1568469682 | Howard Kliman | Podiatrist | 23 Applewood Dr, Upper Saddle River, NJ 07458-1002 | 2005-07-05 |
| Find all providers in zip 07458 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315888 | One Pack Management Corp | Assisted Living Facility | 5 Boroline Rd, Saddle River, NJ 07458-2343 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1093324113 | Springpoint At Manalapan, Inc. | Assisted Living Facility | 4814 Outlook Dr, Wall Township, NJ 07753-6812 | 2020-07-24 |
| 1720696222 | Csh Mount Laurel Licensee, LLC | Assisted Living Facility | 785 Centerton Rd, Mount Laurel, NJ 08054-1607 | 2020-07-21 |
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1376176636 | Fsp-waldwick Property, LLC | Assisted Living Facility | 245 Wyckoff Ave, Waldwick, NJ 07463-1225 | 2020-02-14 |
| 1417589763 | Shp Vi Mountainside LLC | Assisted Living Facility | 1050 Springfield Ave, Mountainside, NJ 07092-2905 | 2020-02-05 |
| 1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
| 1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | SADDLE RIVER |
| Zip Code | 07458 |
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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.