Gloucester Manor Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GLOUCESTER MANOR HEALTH CARE CENTER

Practice address

685 Salina Rd
Sewell, NJ 08080-4602

Phone

(856) 468-2500

Fax

(856) 468-7071

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Goldman

Title

Controller

Phone

(732) 446-1804

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1073505996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PENSION RD",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268400",
            "telephone_number": "732-446-1804",
            "fax_number": "732-446-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SALINA RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804602",
            "telephone_number": "856-468-2500",
            "fax_number": "856-468-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER MANOR HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-446-1804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloucester County Special Services
• Gloucester County Special Services School District (CRESS Therapy Services)
• Gloucester County Special Services School District (CRESS Therapy Services)
• Gloucester County Special Services School District
• Gloucester County Vocational-Technical School District
• Jacqueline Godwin, PT
• Goldberg Enterprises, Inc (home Instead Senior Care)
• Danisha L Golden
• Sheldon L Goldstein, VMD
• Angelica Rebeca Gomez, CRNP

• Skilled Nursing Facility in Sewell, NJ
• Providers in Sewell, 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 Nov 10, 2009; 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.