Organization Active NPI

Marcus L. Ward Home

  • Assisted Living Facility
  • Maplewood, NJ
National Provider Identifier
1063556629
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
30A000 Issued in NJ
Legal business name
MARCUS L. WARD HOME
Practice address
333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone
(973) 762-5050
Fax
(973) 763-3155
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Mr. Garrett T Midgett III
Title
Cfo
Phone
(732) 430-3675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 30A000 NJ Primary

Addresses

Primary practice location

333 Elmwood Ave
Maplewood, NJ 07040-2491

Mailing address

333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone (973) 762-5050

Other identifiers 1

IdentifierTypeStateIssuer
8025401MedicaidNJ

Other names 1

  • Winchester Gardens Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marcus L Ward Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1063556629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ELMWOOD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402491",
            "telephone_number": "973-762-5050",
            "fax_number": "973-763-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ELMWOOD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402491",
            "telephone_number": "973-762-5050",
            "fax_number": "973-763-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS L. WARD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "MIDGETT",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-430-3675",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "30A000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8025401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.