Organization Active NPI

Chabrusa Convalescent Center, Inc.

Doing business as Saddle Brook Convalescent Home

  • Skilled Nursing Facility
  • Saddle Brook, NJ
National Provider Identifier
1235118514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
60216 Issued in NJ
Legal business name
CHABRUSA CONVALESCENT CENTER, INC.
Doing business as
Saddle Brook Convalescent Home
Practice address
15 Caldwell Ave
Saddle Brook, NJ 07663-6021
Phone
(201) 843-7333
Fax
(201) 843-6448
NPI assigned
Jan 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra A Olshalsky
Title
Administrator
Phone
(201) 843-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 60216 NJ Primary

Addresses

Primary practice location

15 Caldwell Ave
Saddle Brook, NJ 07663-6021

Mailing address

15 Caldwell Ave
Saddle Brook, NJ 07663-6021
Phone (201) 843-7333

Other identifiers 1

IdentifierTypeStateIssuer
4463803MedicaidNJ

Other names 1

  • Saddle Brook Convalescent Home 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": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235118514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALDWELL AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636021",
            "telephone_number": "201-843-7333",
            "fax_number": "201-843-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALDWELL AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636021",
            "telephone_number": "201-843-7333",
            "fax_number": "201-843-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHABRUSA CONVALESCENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSHALSKY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-843-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "60216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4463803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddle Brook Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.