Active NPI
St Cloud Rochelle Park LLC
Doing business as The Chateau at Rochelle Park
- Skilled Nursing Facility
- Rochelle Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 056301
- Legal business name
- ST CLOUD ROCHELLE PARK LLC
- Doing business as
- The Chateau at Rochelle Park
- Practice address
- 96 Parkway
Rochelle Park, NJ 07662-4200 - Phone
- (201) 226-9600
- Fax
- (201) 226-9601
- NPI assigned
- Jun 17, 2006
- Last updated
- Oct 8, 2014
- 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. Chavie Katz
- Title
- Comptroller
- Phone
- (718) 567-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 056301 | NJ | Primary |
Addresses
Primary practice location
96 Parkway
Rochelle Park, NJ 07662-4200
Mailing address
170 53Rd St
3Rd Floor
Brooklyn, NY 11232-4319
Phone (718) 567-0400
Other names 1
- THE CHATEAU AT ROCHELLE PARK
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000749 | NJ | Part A Provider - Skilled Nursing Facility | 9335162619 | Practice locations: Rochelle Park, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306881040. Details of each certification follow.
Skilled nursing facility certification: CCN 315494
- Legal name
- ST CLOUD ROCHELLE PARK LLC
- Doing business as
- ALARIS HEALTH AT THE CHATEAU
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 18, 2006
- Last certification
- Jan 9, 2025
- Beds
- 251
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Oct 14, 2005 in NJ
- Enrollment address
- 96 Parkway
Alaris Health at the Chateau
Rochelle Park, NJ 11232-4319 - Nursing home name
- ALARIS HEALTH AT THE CHATEAU
- Affiliated entity
- ALARIS HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alaris Health at The Chateau
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 18, 2006
- Medicare certification status
- Active
- Certified beds
- 251
- Chain
- Alaris Health
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 |
|---|---|---|---|
| 31D1047696 | Chateau at Rochelle Park,the | Certificate of waiver | Jun 13, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- St Cloud Rochelle Park LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Rochelle Park, NJ
- NPI 1487811014
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Susan Roman | W-2 Managing Employee | Jan 1, 2014 | 90% |
| Samuel Stern | Corporate Officer | Sep 27, 2004 | 10% |
| Avery Eisenreich | 5% Or Greater Direct Ownership Interest | Sep 27, 2004 | 99% |
| St Cloud Rochelle Park LLC | 5% Or Greater Direct Ownership Interest | Nov 28, 2005 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Livingston, NJ
- NPI 1235120155
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1750330072
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1306881040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 53RD ST",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112324319",
"telephone_number": "718-567-0400",
"fax_number": "718-567-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 PARKWAY",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624200",
"telephone_number": "201-226-9600",
"fax_number": "201-226-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CLOUD ROCHELLE PARK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "CHAVIE",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "718-567-0400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "056301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE CHATEAU AT ROCHELLE PARK",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.