Gardenview Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GARDENVIEW OPCO LLC

Practice address

1420 S Black Horse Pike
Williamstown, NJ 08094-9130

Phone

(856) 875-0100

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pinchos Bak

Title

Owner

Phone

(908) 783-3110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184274375. Details of each certification follow.

• CCN 315257 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315257

Legal name

GARDENVIEW OPCO LLC

Doing business as

CEDAR GROVE RESPIRATORY AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 9, 1988

Last certification

May 18, 2023

Beds

180

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Atlas Healthcare

Organization structure

LLCProprietary

Enrollment address

1420 Black Horse Pike
Williamstown, PA 08094-9130

Nursing home name

CEDAR GROVE RESPIRATORY AND NURSING CENTER

Affiliated entity

ATLAS HEALTHCARE

Listed as

Cedar Grove Respiratory and Nursing CenterCCN 315257 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 9, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180177.9 residents per day on average

Chain

Atlas Healthcare29 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cedar Grove Respiratory and Nursing Cent2 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.

• Gardenview Opco LLC

  • Nursing Facility/Intermediate Care Facility
  • Williamstown, NJ
  • NPI 1316597511
  NPD tax ID

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Joseph J. Conti, D.O.

  • Internal Medicine Physician
  • Laurel Springs, NJ
  • NPI 1679552921

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Imran A Mirza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Deptford, NJ
  • NPI 1376573204

  Nursing home

  Care Compare affiliation
• Allen Lewis Silvey Jr., D.O.

  • Pulmonary Disease Physician
  • Linwood, NJ
  • NPI 1184822850

  Nursing home

  Care Compare affiliation
• Christine M Surrey, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
  • NPI 1972583540

  Nursing home

  Care Compare affiliation
• Anthony Wehbe, D.O.

  • Internal Medicine Physician
  • Mullica Hill, NJ
  • NPI 1275731986

  Nursing home

  Care Compare affiliation
• Joseph Anthony Libby, MD, FACP, CMD

  • Internal Medicine Physician
  • Celebration, FL
  • NPI 1861574279

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1184274375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949130",
            "telephone_number": "856-875-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENVIEW OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "PINCHOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-783-3110"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Gaidis Gaidis Jr., D.M.D.
• Maryanne Gallagher, APN
• Yanqiu Gao
• Fabiola Garcia Sosa
• Andrea M. Garcia, M.D.
• Gardenview Opco LLC
• Malgorzata Gegala
• Kathleen Marie Gibson, RPH
• Linda S Goggin, MD
• Richard F Golden, DO

• Skilled Nursing Facility in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.

Verify at the official NPI Registry.