Active NPI
Actors Fund of America
- Nursing Facility/Intermediate Care Facility
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- ACTORS FUND OF AMERICA
- Practice address
- 155 175 W Hudson Avenue
Englewood, NJ 07631-1609 - Phone
- (201) 871-8882
- Fax
- (201) 871-9511
- NPI assigned
- Oct 26, 2006
- Last updated
- May 29, 2008
- 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
- Mr. Jordan Strohl, LNHA
- Title
- Administrator
- Phone
- (201) 871-8882
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
155 175 W Hudson Avenue
Englewood, NJ 07631-1609
Mailing address
155 175 W Hudson Avenue
Englewood, NJ 07631
Phone (201) 871-8882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4465211 | Other | NJ | MEDICAID CPCH |
| 4465202 | 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 |
|---|---|---|---|---|
| O20080521000161 | NJ | Part A Provider - Skilled Nursing Facility | 6103995873 | Practice locations: Englewood, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659456911. Details of each certification follow.
Skilled nursing facility certification: CCN 315377
- Legal name
- ACTORS FUND OF AMERICA
- Doing business as
- ACTORS FUND HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1998
- Last certification
- Feb 5, 2024
- Beds
- 107
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 2, 2003 in NY
- Enrollment address
- 155-175 W Hudson Avenue
Englewood, NJ 07631-1609 - Nursing home name
- ACTORS FUND HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Actors Fund Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1998
- Medicare certification status
- Active
- Certified beds
- 107
National Provider Directory
National Provider DirectoryLocations
175 W Hudson Ave
Englewood, NJ 07631
Phone (201) 871-8882
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Grace Park | Operational/Managerial Control | May 6, 2024 | |
| Actors Fund of America | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Jordan Strohl | Corporate Officer | May 2, 2008 | 100% |
| Corporate Director | Jan 2, 2008 | 100% | |
| Adp of the SNF | Feb 6, 2026 | ||
| Ashwin Jathavedam | Adp of the SNF | Feb 6, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Occupational Therapist
- Jersey City, NJ
- NPI 1518430503
-
- Occupational Therapy Assistant
- Englewood, NJ
- NPI 1750855789
-
- Clinical Social Worker
- Hoboken, NJ
- NPI 1659499234
-
- Occupational Therapy Assistant
- Englewood, NJ
- NPI 1205332970
Affiliated clinicians 2
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": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1659456911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 175 W HUDSON AVENUE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-871-8882",
"fax_number": "201-871-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 175 W HUDSON AVENUE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311609",
"telephone_number": "201-871-8882",
"fax_number": "201-871-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTORS FUND OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "STROHL",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-871-8882",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CPCH",
"identifier": "4465211",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4465202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.