Active NPI
SJF CCRC, Inc
Doing business as Lions Gate CCRC
- Assisted Living Facility
- Voorhees, NJ
National Provider Identifier
1366073140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SJF CCRC, INC
- Doing business as
- Lions Gate CCRC
- Practice address
- 1110 Laurel Oak Rd
Voorhees, NJ 08043-4344 - Phone
- (856) 679-2211
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- Organization subpart
- Yes
- Parent organization
- SJF CCRC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Thompson
- Title
- Chief Financial Officer
- Phone
- (856) 679-2211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1110 Laurel Oak Rd
Voorhees, NJ 08043-4344
Mailing address
1110 Laurel Oak Rd
Voorhees, NJ 08043-4344
Phone (856) 679-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469751 | Medicaid | NJ |
Other names 1
- Lions Gate CCRC
National Provider Directory
National Provider Directory- Tax ID family
- SJF CCRC Inc
- Part of
- SJF CCRC Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1366073140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 LAUREL OAK RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434344",
"telephone_number": "856-679-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 LAUREL OAK RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434344",
"telephone_number": "856-679-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJF CCRC, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SJF CCRC, INC.",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "856-679-2211"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469751",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lions Gate CCRC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.