Organization Active NPI

De la Salle Hall Inc

  • Skilled Nursing Facility
  • Lincroft, NJ
National Provider Identifier
1336209824
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DE LA SALLE HALL INC
Practice address
810 Newman Springs Rd
Lincroft, NJ 07738
Phone
(732) 530-9470
Fax
(732) 530-8072
NPI assigned
Dec 12, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mrs. Joanne Beagan, LNHA
Title
Administrator
Phone
(732) 530-9470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

810 Newman Springs Rd
Lincroft, NJ 07738

Mailing address

810 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 530-9470

Other identifiers 1

IdentifierTypeStateIssuer
7173903MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000017 NJ Part A Provider - Skilled Nursing Facility 5991831521 Practice locations: Lincroft, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336209824. Details of each certification follow.

Skilled nursing facility certification: CCN 315374

Legal name
DE LA SALLE HALL INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1997
Last certification
Dec 31, 2024
Beds
32
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 12, 1994 in NJ
Enrollment address
810 Newman Springs Rd
De la Salle Hall
Lincroft, NJ 07738-1608
Nursing home name
DE LA SALLE HALL

Care Compare: Nursing home

Medicare Care Compare
Listed as
De la Salle HallCCN 315374 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3226.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2209904De la Salle Hall810 Newman Springs Road, Lincroft, NJ 07738Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

810 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 530-9470

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.

NameRoleSinceShare
Timothy Froehlich Individual Corporate OfficerBoard Member Sep 1, 2009
Charles Lackes Individual 5% Or Greater Direct Ownership InterestDirector Jun 1, 2021 100%
Kirsten E. Kim Individual W-2 Managing EmployeeAdminiatrator Apr 18, 2016
Operational/Managerial ControlAdministrator Apr 18, 2016
Janis Baez Individual W-2 Managing EmployeeBusiness Office Manager/HR Manager Nov 30, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1336209824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "07738",
            "telephone_number": "732-530-9470",
            "fax_number": "732-530-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "07738",
            "telephone_number": "732-530-9470",
            "fax_number": "732-530-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA SALLE HALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BEAGAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-530-9470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7173903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

Verify at the official NPI Registry.