Organization Active NPI

Sisters of Charity of St Elizabeth- St Anne Villa

  • Skilled Nursing Facility
  • Florham Park, NJ
National Provider Identifier
1104965086
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NJ 60920 Issued in NJ
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 ELIZABETHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000353MedicaidNJ

Other names 1

  • SAINT ANNE VILLA Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.