Active NPI
Cheshire Home Inc
- Skilled Nursing Facility
- Florham Park, NJ
National Provider Identifier
1396884672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061421
- Legal business name
- CHESHIRE HOME INC
- Practice address
- 9 Ridgedale Ave
Florham Park, NJ 07932-2329 - Phone
- (973) 966-1232
- Fax
- (973) 966-6153
- NPI assigned
- Feb 5, 2007
- 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. George Zeitler
- Title
- Executive Director
- Phone
- (973) 966-1232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061421 | NJ | Primary |
Addresses
Primary practice location
9 Ridgedale Ave
Florham Park, NJ 07932-2329
Mailing address
9 Ridgedale Ave
Florham Park, NJ 07932-2329
Phone (973) 966-1232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4492005 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121102000021 | NJ | Part A Provider - Skilled Nursing Facility | 4385892660 | Practice locations: Florham Park, NJ |
Skilled nursing facility certification: CCN 315383
- Legal name
- CHESHIRE HOME INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1997
- Last certification
- Sep 6, 2024
- Beds
- 35
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 14, 1971 in NJ
- Enrollment address
- 9 Ridgedale Ave
Florham Park, NJ 07932-2329 - Nursing home name
- CHESHIRE HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cheshire Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 35
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 |
|---|---|---|---|
| 31D0670015 | Cheshire Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| George Zeitler | Corporate Officer | Jun 17, 1991 | |
| W-2 Managing Employee | Jun 17, 1991 | ||
| Frank Genova | Corporate Officer | May 9, 2011 | |
| W-2 Managing Employee | May 9, 2011 |
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": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1396884672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322329",
"telephone_number": "973-966-1232",
"fax_number": "973-966-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322329",
"telephone_number": "973-966-1232",
"fax_number": "973-966-6153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESHIRE HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "ZEITLER",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-966-1232",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "061421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4492005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.