Selah Adult Care Corporation

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

D35026 Issued in NJ

Legal business name

SELAH ADULT CARE CORPORATION

Practice address

133 Fourth Street
Belvidere, NJ 07823

Phone

(908) 797-7193

Fax

(877) 627-7787

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Tranquilli, CDP, CDCM, CADDCT

Title

Chief Operating Officer

Phone

(908) 797-7193

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Selah Care Center Former legal business name

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1427507235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FOURTH STREET",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "07823",
            "telephone_number": "908-797-7193",
            "fax_number": "877-627-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FOURTH STREET",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "07823",
            "telephone_number": "908-797-7193",
            "fax_number": "877-627-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH ADULT CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "TRANQUILLI",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "908-797-7193",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP, CDCM, CADDCT"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NJ",
            "license": "D35026",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NJ",
            "license": "D35026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "D35026",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selah Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carolina Nativia Rivera
• Eric Rodriguez, D.C.
• Anthony Marino Rossi, DMD
• Elizabeth Ellyn Salameh, PT, MS, NCS
• Cara L Seese, PT
• Sandra L Simone, MS, CCC-SLP
• St. Luke's Warren Physician Group, PC
• St. Luke's Warren Physician Group, PC
• Trang Lieu Steinbaum
• Dipali Ajay Tailor, MOTR

• Alzheimer Center (Dementia Center) in Belvidere, NJ
• Providers in Belvidere, NJ by specialty
• Alzheimer Center (Dementia Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.