Reformed Church Ministries to the Aging, the Particular Synod of the M

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

50A002 Issued in NJ

Legal business name

REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M

Doing business as

Reformed Church Home

Practice address

1990 Route 18
Old Bridge, NJ 08857-3771

Phone

(732) 607-9230

NPI assigned

Jun 13, 2005

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruby Anastos, CPA

Title

Controller

Phone

(732) 607-9230

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• REFORMED CHURCH HOME Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780688226. Details of each certification follow.

• CCN 315417 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315417

Legal name

REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M

Doing business as

REFORMED CHURCH HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1997

Last certification

Dec 11, 2024

Beds

108

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Feb 2, 1961 in NJ

Enrollment address

1990 RT 18 N
Reformed Church Home
Old Bridge, NJ 08857-3771

Nursing home name

REFORMED CHURCH HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Reformed Church Ministries to the Aging, the Particular Synod of the M

  dba Reformed Church House Staff

  • Geriatric Medicine (Family Medicine) Physician
  • Old Bridge, NJ
  • NPI 1508072745

  4587707112

  Same PAC ID

Listed as

Reformed Church HomeCCN 315417 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Dec 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10899.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Reformed Church Home Ho3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Reformed Church Ministries to the Aging, the Particular Synod of the M

  dba Reformed Church House Staff

  • Geriatric Medicine (Family Medicine) Physician
  • Old Bridge, NJ
  • NPI 1508072745
  NPD tax ID
• Reformed Church Ministries to the Aging, the Particular Synod of the M

  dba Reformed Church Home

  • Assisted Living Facility
  • Old Bridge, NJ
  • NPI 1649677824
  NPD tax ID

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Edward T Mezic, MD

  • Pulmonary Disease Physician
  • Old Bridge, NJ
  • NPI 1437218435

  Nursing home

  Care Compare affiliation
• Jyoti Nigam, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1316006315

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1780688226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573771",
            "telephone_number": "732-607-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573771",
            "telephone_number": "732-607-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-06-03",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "ANASTOS",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-607-9230",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "50A002",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "030709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131636",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4477502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REFORMED CHURCH HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REFORMED CHURCH HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Ravinsky
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• Assisted Living Facility in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.