The Grove Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061335 Issued in NJ

Legal business name

THE GROVE HEALTHCARE AND REHABILITATION CENTER, LLC

Practice address

919 Green Grove Rd
Neptune, NJ 07753-2907

Phone

(732) 922-3400

NPI assigned

Sep 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yudi Steinfeld

Title

Business Office Manager

Phone

(732) 922-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• IMPERIAL CARE CENTER Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Skilled nursing facility certification: CCN 315199A

Legal name

THE GROVE HEALTHCARE AND REHABILITATION CENTER, LLC

Doing business as

IMPERIAL CARE CENTER

Organization structure

LLCProprietary

Enrollment address

919 Green Grove Rd
Imperial Care Center
Neptune, NJ 07753-2907

Nursing home name

IMPERIAL CARE CENTER

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lookman K Odejobi, M.D.

  • Internal Medicine Physician
  • Neptune, NJ
  • NPI 1306888789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1023112497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 GREEN GROVE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532907",
            "telephone_number": "732-922-3400",
            "fax_number": "732-918-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 GREEN GROVE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532907",
            "telephone_number": "732-922-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "STEINFELD",
        "authorized_official_first_name": "YUDI",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "732-922-3400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4491009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "315199",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPERIAL CARE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ian Taveras, APN
• Nicole Tavernier, MD
• Stacey Telenson, APN
• Neelima Rani Thakur, M.D.
• The a.S. Group
• The New Jersey Center for Autism Resources and Ed
• Allyson Lee Thomas
• Eamon St. Gemme Thomasson
• Amanda Thompson, DMD
• Thrift Drug Inc

• Skilled Nursing Facility in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.