1120 Alps Road Operating Company LLC
Organization Active NPI Skilled Nursing Facility · Wayne, NJ
NPI 1043674526 · NPPES record last updated Dec 31, 2024
Key facts
- NPI
- 1043674526
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 061601 (NJ)
- Legal business name
- 1120 ALPS ROAD OPERATING COMPANY LLC
- Practice address
- 1120 Alps Rd
Wayne, NJ 07470-3704 - Phone
- (973) 339-8899
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Greg Hook
- Title
- Evp Compliance
- Phone
- (201) 953-0546
Corporate family (same tax ID) 1
Facilities with the same owner 2
Practitioners 1
-
Vibu Varghese, MD
Affiliated clinicians 4
-
Maria Alfakir, M.D.
-
Vibu Varghese, MD
-
Jumana Chalabi, M.D
Medicare Care Compare: Nursing home
- Listed as
- Atrium Post Acute Care of Wayne
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 209 · 148.6 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $3,418
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Skilled nursing facility certification: CCN 315335
- Legal name
- 1120 ALPS ROAD OPERATING COMPANY LLC
- Doing business as
- ATRIUM POST ACUTE CARE OF WAYNE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1994
- Last certification
- Feb 25, 2025
- Beds
- 209
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 1, 2016
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 18, 2014 in NJ
- Enrollment address
- 1120 Alps Rd
Atrium Post Acute Care of Wayne
Wayne, NJ 07470-3704 - Nursing home name
- ATRIUM POST ACUTE CARE OF WAYNE
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Elia Zois |
5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 20% |
| Vincent Tufariello |
5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 20% |
| Gregory Brian Hook |
Corporate Officer |
Mar 1, 2016 | |
| Mary T Khawly |
5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 20% |
| William G Burris |
5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 15% |
| William G Burris |
5% Or Greater Indirect Ownership Interest | Oct 6, 1982 | 5% |
| KBWB Operations-Atrium |
5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160516000920 | NJ | Part a Provider - Skilled Nursing Facility | 4183913122 | Practice locations: Wayne, NJ |
National Provider Directory
- Tax ID family
- 1120 Alps Road Operating Company LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061601 | NJ | Yes |
Addresses
Primary practice location
1120 Alps Rd
Wayne, NJ 07470-3704
Mailing address
C/O Spring Hills LLC 26 Main Street
Edison, NJ 08837
Phone (732) 582-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0521744 | Medicaid | NJ |
Other names
- Atrium Post Acute Care of Wayne
Other providers in Wayne, NJ
- 180Degree Therapy LLC
- 2020 Route 23 Operating Company LLC
- 247 Healthcare Solutions LLC
- 261 Terhune Drive Operations LLC
- 493 Black Oak Ridge Road, LLC
All providers in Wayne, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.