Organization Active NPI

Green Hill Inc

  • Skilled Nursing Facility
  • West Orange, NJ
National Provider Identifier
1528061868
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030707 Issued in NJ
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

Updated by the provider on Oct 18, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015458MedicaidNJ
0754MedicaidNJ
4476905MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HillCCN 315416 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12794.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Debra Gagliano Individual W-2 Managing EmployeeBusiness Office Manager Apr 10, 2019
Lori Braender Individual Corporate Director Nov 17, 2006
Valerie Depiro Individual Corporate Director May 10, 2012
Donna Lazartic Individual Corporate DirectorDirector Jan 6, 2017
W-2 Managing EmployeeDirector Jan 6, 2017
Danielle Ganter Individual Corporate DirectorExecutive Director Dec 27, 2019 100%
Loretta Gardner Individual Corporate Director Mar 1, 2015
Green Hill Inc Organization, West Orange, NJ 5% Or Greater Direct Ownership Interest Apr 2, 1998
Jaime Raskulinecz Individual 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.

Affiliated clinicians 7

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": "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

Verify at the official NPI Registry.