Active NPI
301 Union Street, LLC
Doing business as Care One at Wellington
- Skilled Nursing Facility
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060205
- Legal business name
- 301 UNION STREET, LLC
- Doing business as
- Care One at Wellington
- Practice address
- 301 Union Street
Hackensack, NJ 07601 - Phone
- (201) 487-4900
- Fax
- (201) 487-1741
- NPI assigned
- Jul 15, 2005
- Last updated
- Aug 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. A. Alberto Lugo
- Title
- Executive VP & General Cousel
- Phone
- (201) 242-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060205 | NJ | Primary |
| Respite Care | 385H00000X | 4464516 | NJ |
Addresses
Primary practice location
301 Union Street
Hackensack, NJ 07601
Mailing address
301 Union Street
Hackensack, NJ 07601
Phone (201) 487-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4464508 | Medicaid | NJ |
Other names 1
- Care One at Wellington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040804000668 | NJ | Part A Provider - Skilled Nursing Facility | 0244201150 | Practice locations: Hackensack, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174522833. Details of each certification follow.
Skilled nursing facility certification: CCN 315152
- Legal name
- 301 UNION STREET, LLC
- Doing business as
- CARE ONE AT WELLINGTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 18, 1974
- Last certification
- Jan 7, 2025
- Beds
- 128
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- CareOne
- Most recent change of ownership
- Mar 31, 2004
- Organization structure
- LLC
- Incorporated
- Mar 18, 2004 in NJ
- Enrollment address
- 301 Union Street
Hackensack, NJ 07601-4304 - Nursing home name
- CAREONE AT WELLINGTON
- Affiliated entity
- CAREONE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Careone at Wellington
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 18, 1974
- Medicare certification status
- Active
- Certified beds
- 128
- Chain
- Careone
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0987470 | Care One at Wellington | Certificate of waiver | Jun 4, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Healthbridge Management LLC | Operational/Managerial Control | Jul 25, 2008 | |
| Des 2009 GST Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | |
| David Baruch | Corporate Officer | Dec 1, 2021 | |
| W-2 Managing Employee | Dec 1, 2021 | ||
| Operational/Managerial Control | Dec 1, 2021 | ||
| Care One LLC | 5% Or Greater Direct Ownership Interest | Mar 31, 2004 | 100% |
| Des Holding Co., Inc. | 5% Or Greater Indirect Ownership Interest | Dec 16, 2007 | |
| Des-C 2009 Grat | 5% Or Greater Indirect Ownership Interest | Oct 26, 2009 | |
| Daniel E Straus | 5% Or Greater Indirect Ownership Interest | Mar 1, 2004 | |
| Care One Management, LLC | Operational/Managerial Control | Mar 31, 2004 |
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Care One at Hanover Township
- Skilled Nursing Facility
- Whippany, NJ
- NPI 1912267279
Care One LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat
-
dba Care One at Wayne
- Skilled Nursing Facility
- Wayne, NJ
- NPI 1861491540
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Oradell Health Care Center
- Skilled Nursing Facility
- Oradell, NJ
- NPI 1760481444
Des 2009 GST Trust, Healthbridge Management LLC
-
dba Woodcrest Health Care Center
- Skilled Nursing Facility
- New Milford, NJ
- NPI 1386643062
Healthbridge Management LLC
-
dba Ascend Home Health
- Home Health Agency
- Rochelle Park, NJ
- NPI 1639355720
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat
-
dba Care One at The Highlands
- Skilled Nursing Facility
- Edison, NJ
- NPI 1427057983
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at East Brunswick
- Skilled Nursing Facility
- East Brunswick, NJ
- NPI 1669471124
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at Madison Avenue
- Skilled Nursing Facility
- Morristown, NJ
- NPI 1316946007
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at Moorestown
- Skilled Nursing Facility
- Moorestown, NJ
- NPI 1265431969
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at Morris
- Skilled Nursing Facility
- Parsippany, NJ
- NPI 1851390546
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at Teaneck
- Skilled Nursing Facility
- Teaneck, NJ
- NPI 1174669204
Care One LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
dba Care One at Wall
- Skilled Nursing Facility
- Wall, NJ
- NPI 1659370344
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Ridgewood, NJ
- NPI 1316987019
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Hackensack, NJ
- NPI 1073501094
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439424000000",
"number": "1174522833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNION STREET",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-487-4900",
"fax_number": "201-487-1741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNION STREET",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-487-4900",
"fax_number": "201-487-1741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "301 UNION STREET, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2015-08-13",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "A.",
"authorized_official_middle_name": "ALBERTO",
"authorized_official_title_or_position": "EXECUTIVE VP & GENERAL COUSEL",
"authorized_official_telephone_number": "201-242-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060205",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NJ",
"license": "4464516",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4464508",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care One at Wellington",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.