Active NPI
Green Hill Inc
- Skilled Nursing Facility
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030707
- Legal business name
- GREEN HILL INC
- Practice address
- 103 Pleasant Valley Way
West Orange, NJ 07052-2905 - Phone
- (973) 731-2300
- Fax
- (973) 325-6009
- NPI assigned
- May 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Toni Lynn Davis, L.N.H.A., MHA.
- Title
- Executive Director - President
- Phone
- (973) 731-2300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 30C001 | NJ | |
| Skilled Nursing Facility | 314000000X | 030707 | NJ | Primary |
Addresses
Primary practice location
103 Pleasant Valley Way
West Orange, NJ 07052-2905
Mailing address
103 Pleasant Valley Way
West Orange, NJ 07052-2905
Phone (973) 731-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015458 | Medicaid | NJ | |
| 0754 | Medicaid | NJ | |
| 4476905 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071010000643 | NJ | Part A Provider - Skilled Nursing Facility | 8426144114 | Practice locations: West Orange, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528061868. Details of each certification follow.
Skilled nursing facility certification: CCN 315416
- Legal name
- GREEN HILL INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1997
- Last certification
- Feb 24, 2025
- Beds
- 127
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 29, 1906 in NJ
- Enrollment address
- 103 Pleasant Valley Way
West Orange, NJ 07052-2905 - Nursing home name
- GREEN HILL
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Green Hill
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 127
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Debra Gagliano | W-2 Managing Employee | Apr 10, 2019 | |
| Lori Braender | Corporate Director | Nov 17, 2006 | |
| Valerie Depiro | Corporate Director | May 10, 2012 | |
| Donna Lazartic | Corporate Director | Jan 6, 2017 | |
| W-2 Managing Employee | Jan 6, 2017 | ||
| Danielle Ganter | Corporate Director | Dec 27, 2019 | 100% |
| Loretta Gardner | Corporate Director | Mar 1, 2015 | |
| Green Hill Inc | 5% Or Greater Direct Ownership Interest | Apr 2, 1998 | |
| Jaime Raskulinecz | Corporate Director | Sep 1, 2015 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Montclair, NJ
- NPI 1992862585
-
- Cardiovascular Disease Physician
- East Orange, NJ
- NPI 1083693196
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Montclair, NJ
- NPI 1992862585
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1528061868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PLEASANT VALLEY WAY",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522905",
"telephone_number": "973-731-2300",
"fax_number": "973-325-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PLEASANT VALLEY WAY",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522905",
"telephone_number": "973-731-2300",
"fax_number": "973-325-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN HILL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "TONI LYNN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR - PRESIDENT",
"authorized_official_telephone_number": "973-731-2300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.N.H.A., MHA."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NJ",
"license": "30C001",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "030707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015458",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0754",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4476905",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.