Active NPI
Galloway Healthcare, L.P.
- Skilled Nursing Facility
- Cherry Hill, NJ
National Provider Identifier
1083613236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060102
- Legal business name
- GALLOWAY HEALTHCARE, L.P.
- Practice address
- 1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256 - Phone
- (856) 663-4044
- Fax
- (856) 665-5708
- NPI assigned
- Jul 19, 2005
- Organization subpart
- Yes
- Parent organization
- SENIORS MANAGEMENT NORTH, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lenard Brown
- Title
- C.F.O.
- Phone
- (856) 663-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060102 | NJ | Primary |
Addresses
Primary practice location
1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256
Mailing address
66 W Jimmie Leeds Rd
Absecon, NJ 08205-9401
Phone (609) 748-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7993102 | Medicaid | NJ | |
| 7993111 | Other | NJ | RES-PROV |
National Provider Directory
National Provider DirectoryLocations
66 W Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 748-9100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1083613236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W JIMMIE LEEDS RD",
"city": "ABSECON",
"state": "NJ",
"postal_code": "082059401",
"telephone_number": "609-748-9100",
"fax_number": "856-665-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 WYNNWOOD AVE",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023256",
"telephone_number": "856-663-4044",
"fax_number": "856-665-5708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLOWAY HEALTHCARE, L.P.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SENIORS MANAGEMENT NORTH, INC.",
"enumeration_date": "2005-07-19",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LENARD",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "856-663-4044",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7993102",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RES-PROV",
"identifier": "7993111",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.