FS LEISURE PARK TENANT TRUST (NPI# 1447634266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447634266 |
| Entity Type | Organization |
| Organization Name | FS LEISURE PARK TENANT TRUST |
| Other Organization Name | LEISURE PARK |
| Practice Address |
1400 Route 70 Lakewood NJ 08701-5949 |
| Practice Telephone | 7323700444 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FS LEISURE PARK TENANT TRUST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Leisure Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861560187 | Fs Leisure Park Tenant Trust | Assisted Living Facility | 1400 Highway 70, Lakewood, NJ 08701-5949 | 2006-12-04 |
| Street Address |
1400 ROUTE 70 |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404015 | Snh Nj Tenant LLC | Assisted Living Facility | 1400 Route 70, Lakewood, NJ 08701-5949 | 2019-08-27 |
| 1376190660 | Snh Nj Tenant LLC | Assisted Living Facility | 1400 Route 70, Lakewood, NJ 08701-5949 | 2019-08-21 |
| 1093271157 | Maria Calabro | Physical Therapist | 1400 Route 70, Lakewood, NJ 08701-5949 | 2019-02-13 |
| 1871005348 | Elizabeth Connelly Brown | Social Worker | 1400 Route 70, Lakewood, NJ 08701-5949 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| 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 |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1972076958 | Deshano Care Centers LLC | Assisted Living Facility | 9232 W Texas Dr, Lakewood, CO 80232-5100 | 2019-01-02 |
| 1740762061 | Deshano Care Centers LLC | Assisted Living Facility | 1975 Owens Ct, Lakewood, CO 80215-2732 | 2018-09-04 |
| 1932681335 | Deshano Care Centers LLC | Assisted Living Facility | 3225 S Reed Ct, Lakewood, CO 80227-5216 | 2018-08-31 |
| 1619425881 | The Rising Sun Senior Home Inc. | Assisted Living Facility | 421 S Fenton St, Lakewood, CO 80226-3556 | 2016-09-16 |
| 1134592108 | Peris Mungai | Assisted Living Facility | 11922 Nyanza Rd Sw, Lakewood, WA 98499-1438 | 2015-11-12 |
| 1457736399 | Senior Housing Investors II, LLC | Assisted Living Facility | 10420 Gravelly Lake Dr Sw, Lakewood, WA 98499-5041 | 2015-07-21 |
| 1134514961 | Lakewood Health Care Center, Inc. | Assisted Living Facility | 13323 Detroit Ave, Lakewood, OH 44107-2849 | 2015-03-30 |
| Find all providers in LAKEWOOD | ||||
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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.