The Gallen Adult Day Health Care Center at Rthe Jewish Home at Home

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

T2TMR2 Issued in NJ

Legal business name

THE GALLEN ADULT DAY HEALTH CARE CENTER AT RTHE JEWISH HOME AT HOME

Practice address

10 Link Dr
Rockleigh, NJ 07647-2504

Phone

(201) 784-1414

Fax

(201) 750-4266

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Silver Elliott

Title

Executive Vice President

Phone

(201) 750-4230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Jewish Home at Rockleigh Former legal business name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1164561189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LINK DR",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472504",
            "telephone_number": "201-784-1414",
            "fax_number": "201-784-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINK DR",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472504",
            "telephone_number": "201-784-1414",
            "fax_number": "201-750-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GALLEN ADULT DAY HEALTH CARE CENTER AT RTHE JEWISH HOME AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SILVER",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "201-750-4230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "T2TMR2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8749019",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jewish Home at Rockleigh",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Rockleigh, NJ
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.