Green Acres Manor Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061531 Issued in NJ

Legal business name

GREEN ACRES MANOR INC.

Practice address

1931 Lakewood Rd.
Toms River, NJ 08755

Phone

(732) 286-2323

Fax

(732) 286-2191

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa B Linteau

Title

Contract Manager

Phone

(908) 686-3233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Acres Manor Doing business as

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1467536631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 LAKEWOOD RD.",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-286-2323",
            "fax_number": "732-286-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 LAKEWOOD RD.",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-286-2323",
            "fax_number": "732-286-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "LINTEAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "908-686-3233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4495501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skyler James Gray, DC
• Thomas Gray, DC CCN DACN DACBN
• Anna Graziano, CSW
• Dina Graziano, LAC
• Steven Michael Greco, DMD
• Green Acres Rehab and Nursing LLC
• Green Pastures ABA
• Danielle Kathleen Green, DPT
• Andrew Greenberg
• Jyllian Greene

• All providers in Toms River, NJ
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.