NPIMap

Organization Active NPI

Seabrook Village, Inc.

  • Home Health Agency
  • Tinton Falls, NJ
National Provider Identifier
1508936378
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
24173 Issued in NJ
Legal business name
SEABROOK VILLAGE, INC.
Practice address
3000 Essex Road
Attn: Home Health Administrator
Tinton Falls, NJ 07753-7775
Phone
(732) 643-1200
Fax
(410) 204-7237
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Christopher J Rathmann
Title
Assistant Treasurer
Phone
(410) 402-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 24173 NJ Primary

Addresses

Primary practice location

3000 Essex Road
Attn: Home Health Administrator
Tinton Falls, NJ 07753-7775

Mailing address

3000 Essex Road
Attn: Executive Director
Tinton Falls, NJ 07753-2631
Phone (732) 643-1200

Other names 1

  • Seabrook Village, Inc., Home Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081013000038 NJ Part A Provider - Home Health Agency 1759378953 Practice locations: Tinton Falls, NJ

Home health agency certification: CCN 317093

Legal name
SEABROOK VILLAGE, INC.
Doing business as
SEABROOK VILLAGE, INC., HOME HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 2008
Last certification
Oct 31, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 26, 1998 in MD
Enrollment address
3000 Essex Rd
Attn Home Health Administrator
Tinton Falls, NJ 07753-2400
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Seabrook Home Health AgencyCCN 317093
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Dec 4, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0955114Ehmg of NJ Seabrook Village3000 Essex Road, Tinton Falls, NJ 07753Certificate of waiverMar 17, 2028
31D2013245Seabrook Village, Inc - Home Health3000 Essex Road, Tinton Falls, NJ 07753Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Continuing Care at Seabrook Village3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3002 Essex Rd
Tinton Falls, NJ 07753
Phone (732) 643-1200

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Russel N Sharp Individual Corporate DirectorBoard Member Apr 1, 2023
Ian Brown Individual Corporate DirectorBoard Member Apr 1, 2023
National Senior Communities, Inc Organization, Catonsville, MD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 14, 2021 100%
William Pomeranz Individual Corporate DirectorBoard Member Apr 1, 2025
Michael Roskiewicz Individual Corporate DirectorBoard Member Apr 1, 2019
Patricia Brown Individual Corporate DirectorBoard Member Apr 1, 2022
Jennifer M McNamara Individual Contracted Managing EmployeeExecutive Director May 16, 2022
Stephanie L Reel Individual Corporate DirectorBoard Member Apr 1, 2018
Neal a Gantert Individual Contracted Managing EmployeeVP, Regional Finance Apr 1, 2018
Corporate OfficerAssistant Treasurer Apr 1, 2018
Mary D Colins Individual Corporate OfficerChair & President & Secretary Apr 1, 2023
Corporate DirectorBoard Member Oct 1, 2010
Daniel Tyler Individual Corporate OfficerAssistant Treasurer Apr 1, 2025
Eileen G Erstad Individual Corporate OfficerTreasurer Apr 1, 2018
Corporate DirectorBoard Member Apr 1, 2018
Mary Moscato Individual Corporate DirectorBoard Member Apr 1, 2024
Monty C Leonard Individual Corporate DirectorBoard Member Apr 1, 2022
Daniel Wallick Individual Corporate DirectorBoard Member Apr 1, 2025
Pamela Paulk Individual Corporate DirectorBoard Member Apr 1, 2022
Erickson Senior Living LLC Organization, Catonsville, MD LLC, Chain home office Operational/Managerial Control Nov 23, 2020 100%
Christian Sweetser Individual Contracted Managing Employee Mar 1, 2022
John Hall Individual Contracted Managing EmployeeVP, Finance Apr 30, 2010
Corporate OfficerAsst. Treasurer Apr 30, 2010
Katherine L Clupper Individual Corporate OfficerVice Chair & Vice President Apr 1, 2025
Corporate DirectorBoard Member Apr 1, 2024
Zina Jacque Individual Corporate DirectorBoard Member Apr 1, 2018
Scott R Sawicki Individual Corporate OfficerAssistant Secretary Apr 1, 2024
Mark D Embley Individual Contracted Managing EmployeeVP, Regional Finance Oct 27, 2021
Corporate OfficerAssistant Treasurer Oct 27, 2021
Pamela Stiner Individual Contracted Managing EmployeeVP, Regional Finance Apr 1, 2024
Corporate OfficerAssistant Treasurer Apr 1, 2024
Edward a Batten Individual Corporate DirectorBoard Member Apr 1, 2024

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 26

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1508936378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ESSEX ROAD",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077532631",
            "telephone_number": "732-643-1200",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ESSEX ROAD",
            "address_2": "ATTN: HOME HEALTH ADMINISTRATOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537775",
            "telephone_number": "732-643-1200",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABROOK VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "RATHMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "410-402-2390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "24173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seabrook Village, Inc., Home Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.