County of Gloucester, Dept. of Health and Senior Services

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF GLOUCESTER, DEPT. OF HEALTH AND SENIOR SERVICES

Practice address

204 E Holly Ave
Sewell, NJ 08080-2641

Phone

(856) 262-4136

Fax

(856) 262-4109

NPI assigned

Mar 14, 2007

Organization subpart

Yes

Parent organization

COUNTY OF GLOUCESTERAs reported in NPPES

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

Authorized official

Name

Karen Christina

Title

Fiscal Officer

Phone

(856) 218-4134

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Tax ID family

County of Gloucester4 organizations share this tax ID, including this one

Part of

County of Gloucester

Other organizations with this tax ID 3

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

• County of Gloucester

  dba Shady Lane Nursing Home

  • Skilled Nursing Facility
  • Clarksboro, NJ
  • NPI 1447384680
  NPD tax ID
• County of Gloucester

  dba Gloucester County EMS

  • Ambulance
  • Sewell, NJ
  • NPI 1770777674
  NPD tax ID
• County of Gloucester, Dept of Senior Services

  • Public Health or Welfare Agency
  • Sewell, NJ
  • NPI 1316070477
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• County of Gloucester

  dba Shady Lane Nursing Home

  • Skilled Nursing Facility
  • Clarksboro, NJ
  • NPI 1447384680
  NPPES parent name

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1639202708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080967337",
            "telephone_number": "856-853-3353",
            "fax_number": "856-845-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E HOLLY AVE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802641",
            "telephone_number": "856-262-4136",
            "fax_number": "856-262-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GLOUCESTER, DEPT. OF HEALTH AND SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF GLOUCESTER",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTINA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "856-218-4134"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056901",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Cossaboon
• Danielle L. Costello, CPNP
• Skyelar Costello, BCBA, M.S.
• County of Gloucester (Gloucester County EMS)
• County of Gloucester, Dept of Senior Services
• Covenant Counseling
• Kenneth C. Covone, D.O
• Brooke Cowling, PT
• Joshua M Crasner, DO
• William R. Cregar, DDS

• Public Health or Welfare Agency in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Public Health or Welfare Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.