CHRISTIAN HEALTH CARE CENTER (NPI# 1922194331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922194331 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN HEALTH CARE CENTER |
| Practice Address |
301 Sicomac Ave Wyckoff NJ 07481-2159 |
| Practice Telephone | 2018485200 |
| Practice Fax Number | 2018485493 |
| Mailing Telephone | 2018485200 |
| Mailing Fax Number | 2018485493 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN A STAGG (EXECUTIVE VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 2018485200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 060204 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4463510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429546 | Christian Health Care Center | Clinic/Center | 2000 Siena Vlg, Wayne, NJ 07470-3590 | 2006-09-20 |
| 1578667796 | Christian Health Care Center | Skilled Nursing Facility | 855 Aaron Drive, Lynden, WA 98264-9396 | 2006-09-08 |
| 1427047232 | Christian Health Care Center | Skilled Nursing Facility | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2005-10-14 |
| 1851487334 | Christian Health Care Center | Clinic/Center | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
| 1942396411 | Christian Health Care Center | Assisted Living Facility | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
| 1114916954 | Christian Health Care Center | Psychiatric Hospital | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2005-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHRISTIAN HEALTH CARE CENTER | 855 Aaron Dr, Lynden, WA 98264-9396 |
| Street Address |
301 SICOMAC AVE |
| City | WYCKOFF |
| State | NJ |
| Zip Code | 07481-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047232 | Christian Health Care Center | Skilled Nursing Facility | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2005-10-14 |
| 1225648637 | Joseph Charles Christ | Physical Therapy Assistant | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2020-08-01 |
| 1477171130 | Katherine Grace Rogala | Social Worker | 301 Sicomac Ave, Wyckoff, NJ 07481-2194 | 2020-07-09 |
| 1831720861 | Nicole K La Rocca | Occupational Therapist | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2020-01-29 |
| 1194361279 | Emily Debel | Occupational Therapist | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2019-11-22 |
| 1417515511 | Rudensa R Doda | Speech-Language Pathologist | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2019-06-03 |
| 1003377482 | Zeynep Fresolone | Speech-Language Pathologist | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2019-03-27 |
| 1184109373 | Dishaben Patel | Clinic/Center | 301 Sicomac Ave, Wyckoff, NJ 07481 | 2018-10-03 |
| 1982130720 | Juhi Patel | Social Worker | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2017-05-11 |
| 1942743752 | Michael Davis Abbey | Nurse Practitioner | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2016-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992219281 | Sunshine Home Health Services, L.l.c | Home Health | 545 Goffle Rd Ste 6, Wyckoff, NJ 07481 | 2017-11-22 |
| 1609385491 | Elite Wellness Spine and Sports | Chiropractor | 529 Goffle Road, Wyckoff, NJ 07481 | 2017-09-25 |
| 1528434289 | Nicole Maskery | Physical Therapist | 33 Shadyside Dr, Wyckoff, NJ 07481 | 2015-08-18 |
| 1720480122 | Center for Remote Medical Management LLC | Clinic/Center | 245 Madison Ave Ste 2a, Wyckoff, NJ 07481 | 2014-09-17 |
| 1164671053 | Barbara Holub Bizub | Chiropractor | 393 Crescent Avenue, Suite G, Wyckoff, NJ 07481 | 2008-09-16 |
| 1235302175 | Vincent William Hermida Jr. | Dentist | 235 Godwin Ave, Wyckoff, NJ 07481 | 2008-04-11 |
| 1447456629 | Giuseppe Giovatto Jr. | Chiropractor | 615 Wyckoff Ave Ste 1, Wyckoff, NJ 07481 | 2007-06-25 |
| 1114149408 | Evalyn F Lambert | Speech-Language Pathologist | 312 William Way, Wyckoff, NJ 07481 | 2007-05-03 |
| 1447475173 | Nancy G Hulsizer | Social Worker | 474 Florence Ave, Wyckoff, NJ 07481 | 2007-04-16 |
| 1174655039 | Andrew Werner Phillips | Dentist | 235 Madison Ave, Wyckoff, NJ 07481 | 2007-03-09 |
| Find all providers in zip 07481 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475514 | Francis Guenther | Intermediate Care Facility, Mental Illness | 425 Mechlin Corner Rd, Pittstown, NJ 08867-5015 | 2014-07-22 |
| 1104870161 | Inspira Medical Centers, Inc. | Intermediate Care Facility, Mental Illness | 333 Irving Avenue, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 1366490336 | Matheny School and Hospital | Intermediate Care Facility, Mental Illness | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-05-04 |
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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.