Organization Active NPI

Kensington Manor Care Center

  • Skilled Nursing Facility
  • Toms River, NJ
National Provider Identifier
1174557797
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061535 Issued in NJ
Legal business name
KENSINGTON MANOR CARE CENTER
Practice address
94 Stevens Rd
Toms River, NJ 08755-1237
Phone
(732) 736-5396
Fax
(732) 244-1343
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
David Sweeney
Title
Cfo
Phone
(908) 851-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061535 NJ Primary

Addresses

Primary practice location

94 Stevens Rd
Toms River, NJ 08755-1237

Mailing address

54 Newcombe St
Belleville, NJ 07109-1236
Phone (973) 450-2908

Other identifiers 3

IdentifierTypeStateIssuer
5076102MedicaidNJ
5076129MedicaidNJ
5076137MedicaidNJ

Other names 1

  • Kensington Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hampton Ridge Healthcare Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1174557797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NEWCOMBE ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091236",
            "telephone_number": "973-450-2908",
            "fax_number": "973-844-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STEVENS RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551237",
            "telephone_number": "732-736-5396",
            "fax_number": "732-244-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON MANOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "908-851-8355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5076102",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5076129",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5076137",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.