NPIMap

Organization Active NPI

Fallsview at Boonton

  • Skilled Nursing Facility
  • Boonton, NJ
National Provider Identifier
1649980178
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FALLSVIEW AT BOONTON
Practice address
199 Powerville Rd
Boonton, NJ 07005-8840
Phone
(973) 334-2454
NPI assigned
Nov 23, 2022
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Blimi Aviv
Title
Director of Ar
Phone
(973) 285-2893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

199 Powerville Rd
Boonton, NJ 07005-8840

Mailing address

1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122
Phone (973) 285-2893

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230126003454 NJ Part A Provider - Skilled Nursing Facility 8426429556 Practice locations: Boonton, NJ
O20240301001936 NJ Part B Supplier - Clinic/Group Practice 8426429556 Receives reassigned benefits from 1 practitioner
Practice locations: Boonton, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649980178. Details of each certification follow.

Skilled nursing facility certification: CCN 315492

Legal name
FALLSVIEW AT BOONTON
Doing business as
FALLSVIEW NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 26, 2005
Last certification
Oct 2, 2024
Beds
117
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Allaire Health Servicies
Most recent change of ownership
Oct 25, 2022
Organization structure
LLCProprietary
Incorporated
Oct 7, 2021 in NJ
Enrollment address
199 Powerville Road
Boonton, NJ 07005-8840
Nursing home name
FALLSVIEW NURSING AND REHABILITATION CENTER
Affiliated entity
ALLAIRE HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fallsview Nursing and Rehabilitation CenterCCN 315492 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 26, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11785.0 residents per day on average
Chain
Allaire Health Services20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Customers Bank Organization, Malvern, PA Created for acquisition, Financial institution 5% Or Greater Mortgage Interest Oct 25, 2022 100%
5% Or Greater Security Interest Oct 25, 2022 100%
Umang Shah Individual W-2 Managing Employee100 Oct 25, 2022
Benjamin Kurland Individual 5% Or Greater Direct Ownership Interest Oct 25, 2022 99%

Practitioners & affiliated clinicians

Practitioners 3

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 5

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": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1649980178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122",
            "telephone_number": "973-285-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058840",
            "telephone_number": "973-334-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLSVIEW AT BOONTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "AVIV",
        "authorized_official_first_name": "BLIMI",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "973-285-2893"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

Verify at the official NPI Registry.