Organization Active NPI

Galloway Healthcare, L.P.

  • Skilled Nursing Facility
  • Cherry Hill, NJ
National Provider Identifier
1083613236
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060102 Issued in NJ
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7993102MedicaidNJ
7993111OtherNJRES-PROV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.