Organization Active NPI

Lakewood of Voorhees Associates

  • Skilled Nursing Facility
  • Voorhees, NJ
National Provider Identifier
1740289040
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060408 Issued in NJ
Legal business name
LAKEWOOD OF VOORHEES ASSOCIATES
Practice address
1302 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone
(856) 346-1200
Fax
(856) 665-5708
NPI assigned
Jul 19, 2005
Organization subpart
Yes
Parent organization
SENIORS MANAGEMENT NORTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Lenard Brown
Title
C.F.O.
Phone
(856) 663-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060408 NJ Primary

Addresses

Primary practice location

1302 Laurel Oak Rd
Voorhees, NJ 08043-4310

Mailing address

1302 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone (856) 346-1200

Other identifiers 2

IdentifierTypeStateIssuer
4469607MedicaidNJ
0143022OtherNJRES-PROV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1740289040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "856-346-1200",
            "fax_number": "856-665-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "856-346-1200",
            "fax_number": "856-665-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD OF VOORHEES ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORS MANAGEMENT NORTH, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LENARD",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "856-663-4044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4469607",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RES-PROV",
            "identifier": "0143022",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.