Organization Active NPI

South Center Street Nursing Home, LLC

Doing business as Axia Care Center of Orange

  • Skilled Nursing Facility
  • Orange, NJ
National Provider Identifier
1427501584
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
062209 Issued in NJ
Legal business name
SOUTH CENTER STREET NURSING HOME, LLC
Doing business as
Axia Care Center of Orange
Alaris Health at St Mary's
Practice address
135 S Center St
Orange, NJ 07050-3522
Phone
(877) 567-0402
Fax
(718) 567-0600
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Sam Stern
Title
Corporate Officer
Phone
(877) 567-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 062209 NJ Primary

Addresses

Primary practice location

135 S Center St
Orange, NJ 07050-3522

Mailing address

14C 53Rd St Ste 220
Brooklyn, NY 11232-2646
Phone (718) 567-0400

Other identifiers 1

IdentifierTypeStateIssuer
6799311MedicaidNJ

Other names 2

  • AXIA CARE CENTER OF ORANGE Doing business as
  • Alaris Health at St Mary's Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Center Street Nursing Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14C 53rd St
#220
Brooklyn, NY 11232

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1427501584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322646",
            "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": "135 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503522",
            "telephone_number": "877-567-0402",
            "fax_number": "718-567-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTER STREET NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "062209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6799311",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIA CARE CENTER OF ORANGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaris Health at St Mary's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.