ALLENDALE NURSING HOME, INC (NPI# 1427449537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427449537 |
Entity Type | Organization |
Organization Name | ALLENDALE NURSING HOME, INC |
Other Organization Name | ALLENDALE CARLTON COURT |
Practice Address |
85 Harreton Rd Allendale NJ 07401 |
Practice Telephone | 2018250660 |
Practice Fax Number | 2018182031 |
Mailing Telephone | 2018250660 |
Mailing Fax Number | 2018182031 |
Enumeration Date | 2015-02-11 |
Last Update Date | 2015-02-11 |
Authorized Official Name | TIMOTHY PAUL GIANCARLO (PRESIDENT & CEO) |
Authorized Official Telephone | 2018250660 |
Authorized Official Credential | DPM, LNHA |
Is Organization Subpart | Y |
Parent Organization Name | ALLENDALE NURSING HOME, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311Z00000X | Custodial Care Facility | 0277983 | NJ | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0277983 | 05 |
Other Name | Type Code |
---|---|
Allendale Carlton Court | Doing Business As Name - Organization |
Street Address |
85 HARRETON RD |
City | ALLENDALE |
State | NJ |
Zip Code | 07401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881623908 | Allendale Nursing Home Inc | Skilled Nursing Facility | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2006-07-01 |
1992317267 | Charmi Y Patel | Clinic/Center | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2020-08-18 |
1912460544 | Brooke Schubert | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2019-04-10 |
1033689526 | Miguel Angel Garcia | Nurse Practitioner | 85 Harreton Rd, Allendale, NJ 07401-1300 | 2018-11-28 |
1154840809 | Brittany Elizabeth Demaio | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-09-13 |
1306364476 | Lindsay Moran | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-09-08 |
1255871935 | Michelle Ray | Physical Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2017-03-01 |
1417307323 | Tara Hutto | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2016-06-21 |
1891154449 | Anna Leone | Occupational Therapist | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2016-02-10 |
1073843926 | Progressive Pharmacy LLC | Pharmacy | 85 Harreton Rd, Allendale, NJ 07401-1317 | 2009-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134603343 | Ediltruda N Kalikawe | Counselor | 400 Crescent Court, Allendale, NJ 07401 | 2018-09-24 |
1114356250 | Madalina Cornelia Mares | Physical Therapist | 49 W Allendale Ave, Allendale, NJ 07401 | 2013-11-08 |
1992942155 | Matthew A. Rocco | Dentist | 70 W Allendale Avenue, Allendale, NJ 07401 | 2009-01-09 |
1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
1790823961 | Theodore A Campbell Jr. | Chiropractor | 1 Demercurio Drive, Suite #8, Allendale, NJ 07401 | 2007-02-01 |
1699830190 | F James Obosky Sr. | Dentist | 70 West Allendale Av, Suite C, Allendale, NJ 07401 | 2006-12-26 |
1457455883 | Jill E Sieverts | Marriage & Family Therapist | 70 West Allendale Avenue, Suite A, Allendale, NJ 07401 | 2006-09-07 |
1962427526 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 45 Demercurio Drive, Allendale, NJ 07401 | 2006-07-13 |
1265809370 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 45 Demercurio Drive, Allendale, NJ 07401 | 2015-08-24 |
Find all providers in zip 07401 |
Taxonomy Code | 311Z00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861990020 | Nasir Syed | Custodial Care Facility | 34 Crestview Dr, Willingboro, NJ 08046-3511 | 2018-01-23 |
1710400106 | Unicorn Supportive Services | Custodial Care Facility | 22 Valley Forge Dr, Swedesboro, NJ 08085-4230 | 2017-07-18 |
1134508732 | Parent Association for Disable Children and Adult Multi Services | Custodial Care Facility | 777 Madison Avenue, Second Floor, Paterson, NJ 07501-2409 | 2015-05-28 |
1457743270 | Parent Assocaition for Disable Children and Adult Inc | Custodial Care Facility | 777 Madison Avenue, Basement, Paterson, NJ 07501-2409 | 2015-03-03 |
1184029589 | Jlgandsons | Custodial Care Facility | 291 Virginia Ave, Jersey City, NJ 07304-1420 | 2014-10-28 |
1790021152 | Special Care Community Services, Inc. | Custodial Care Facility | 17 May Ct, Piscataway, NJ 08854-2413 | 2012-12-12 |
1437403102 | Parent Associate LLC | Custodial Care Facility | 777 Madison Ave, Paterson, NJ 07501-2409 | 2012-11-02 |
1518211283 | Parent Association for Disable Children,adult&senior | Custodial Care Facility | 778 Madison Ave, First Floor, Paterson, NJ 07501-2409 | 2012-11-02 |
1598018731 | Parent Association LLC | Custodial Care Facility | 794 Madison Ave, Paterson, NJ 07501-2409 | 2012-10-25 |
1457479784 | Excel Care Inc | Custodial Care Facility | 205 Birchwood Ave, Cranford, NJ 07016-2515 | 2007-03-26 |
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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.