Southgate Health Care Center,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061706 Issued in NJ

Legal business name

SOUTHGATE HEALTH CARE CENTER,INC

Practice address

449 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2961

Phone

(856) 299-8900

Fax

(856) 299-9273

NPI assigned

Jan 8, 2007

Last updated

Oct 29, 2007By 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

Susan M. Love

Title

Administrator

Phone

(856) 299-8900

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1457409914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 S PENNSVILLE AUBURN RD",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692961",
            "telephone_number": "856-299-8900",
            "fax_number": "856-299-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S PENNSVILLE AUBURN RD",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692961",
            "telephone_number": "856-299-8900",
            "fax_number": "856-299-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE HEALTH CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-299-8900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4498402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul William Sauers, DO, LACC
• Senior Care Centers of America, Inc. (Active Day of Carneys Point)
• Pamela Suzanne Seretis, MPT
• Camilo Francisco Serrano, MD
• Brenda L. Smith, APN
• Anthony Joseph Spano, PSY.D.
• Lisa Michelle Starner
• Sasha Strain
• Jason James Supernavage, MSPT
• Laura Jean Taylor, LPC, LPCMH

• Skilled Nursing Facility in Carneys Point, NJ
• Providers in Carneys Point, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.