Active NPI
St Cloud Operations LLC
Doing business as St Cloud HCC
- Skilled Nursing Facility
- West Orange, NJ
National Provider Identifier
1386688141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 306001
- Legal business name
- ST CLOUD OPERATIONS LLC
- Doing business as
- St Cloud HCC
- Practice address
- 5 Brook End Dr
West Orange, NJ 07052-1303 - Phone
- (973) 324-3000
- Fax
- (973) 324-3005
- NPI assigned
- Jun 15, 2006
- Last updated
- Jun 25, 2015
- 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. Sam Stern
- Title
- Comptroller
- Phone
- (718) 567-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 306001 | NJ | Primary |
Addresses
Primary practice location
5 Brook End Dr
West Orange, NJ 07052-1303
Mailing address
14C 53Rd St
Suite 220
Brooklyn, NY 11232-2644
Phone (718) 567-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702001 | Medicaid | NJ |
Other names 1
- ST CLOUD HCC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080307000290 | NJ | Part A Provider - Skilled Nursing Facility | 7416032990 | Practice locations: West Orange, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386688141. Details of each certification follow.
Skilled nursing facility certification: CCN 315449
- Legal name
- ST CLOUD OPERATIONS LLC
- Doing business as
- ALARIS HEALTH AT WEST ORANGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 2, 1998
- Last certification
- Dec 19, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Alaris Health
- Organization structure
- LLC
- Incorporated
- Apr 6, 2000 in NJ
- Enrollment address
- 5 Brook End Dr
Alaris Health at West Orange
West Orange, NJ 07052-1303 - Nursing home name
- ALARIS HEALTH AT WEST ORANGE
- Affiliated entity
- ALARIS HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alaris Health at West Orange
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 2, 1998
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Alaris Health
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Samuel Stern | Corporate Officer | Sep 27, 2004 | 10% |
| Kristine Giles | W-2 Managing Employee | Jan 1, 2020 | |
| St Cloud Operations LLC | 5% Or Greater Direct Ownership Interest | May 15, 2008 | 100% |
| Avery Eisenreich | 5% Or Greater Direct Ownership Interest | Sep 27, 2004 | 99% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1386688141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST",
"address_2": "SUITE 220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"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": "5 BROOK END DR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521303",
"telephone_number": "973-324-3000",
"fax_number": "973-324-3005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CLOUD OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"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": "306001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ST CLOUD HCC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.