Active NPI
Sisters of Charity of St Elizabeth- St Anne Villa
- Skilled Nursing Facility
- Florham Park, NJ
National Provider Identifier
1104965086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NJ 60920
- Legal business name
- SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA
- Practice address
- 190 Park Ave
Florham Park, NJ 07932-1049 - Phone
- (973) 867-1502
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- SISTERS OF CHARITY OF ST ELIZABETH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marion Farrell, LNHA
- Title
- Administrator
- Phone
- (973) 867-1502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NJ 60920 | NJ | Primary |
Addresses
Primary practice location
190 Park Ave
Florham Park, NJ 07932-1049
Mailing address
PO Box 476
Convent Station, NJ 07961-0476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000353 | Medicaid | NJ |
Other names 1
- SAINT ANNE VILLA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1104965086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 476",
"city": "CONVENT STATION",
"state": "NJ",
"postal_code": "079610476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 PARK AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321049",
"telephone_number": "973-867-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SISTERS OF CHARITY OF ST ELIZABETH",
"enumeration_date": "2007-02-06",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "MARION",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "973-867-1502",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "NJ 60920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000353",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAINT ANNE VILLA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.