NPIMap

Organization Active NPI

Millennium Healthcare Centers, LLC

  • Skilled Nursing Facility
  • Paramus, NJ
National Provider Identifier
1790784304
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060214 Issued in NJ
Legal business name
MILLENNIUM HEALTHCARE CENTERS, LLC
Practice address
W. 90 Ridgewood Avenue
Paramus, NJ 07652
Phone
(201) 652-1950
Fax
(201) 652-0071
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Mr. A. Alberto Lugo
Title
Executive VP & General Counsel
Phone
(201) 242-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060214 NJ Primary

Addresses

Primary practice location

W. 90 Ridgewood Avenue
Paramus, NJ 07652

Mailing address

W. 90 Ridgewood Avenue
Paramus, NJ 07652
Phone (201) 652-1950

Other names 1

  • Care One at Ridgewood Avenue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000061 NJ Part A Provider - Skilled Nursing Facility 0941349237 Practice locations: Paramus, NJ

Skilled nursing facility certification: CCN 315426

Legal name
MILLENNIUM HEALTHCARE CENTERS, LLC
Doing business as
CARE ONE AT RIDGEWOOD AVENUE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 26, 1998
Last certification
Sep 28, 2023
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Careone
Organization structure
LLCProprietary
Incorporated
Dec 23, 1999 in NJ
Enrollment address
90 W Ridgewood Ave
Paramus, NJ 07652-2270
Nursing home name
CAREONE AT RIDGEWOOD AVENUE
Affiliated entity
CAREONE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Careone at Ridgewood AvenueCCN 315426
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
May 26, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
110105.5 residents per day on average
Chain
Careone37 facilities in the chain
Penalties (3 years)
1Fines totaling $16,149

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Care One at Cresskill3 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.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Healthbridge Management LLC Organization, Fort Lee, NJ For-profit Operational/Managerial Control Jun 1, 2009
Des 2009 GST Trust Organization, Fort Lee, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2021 17.54%
David Baruch Individual Corporate Officer Dec 1, 2021
W-2 Managing Employee Dec 1, 2021
Care One LLC Organization, Fort Lee, NJ Holding company 5% Or Greater Direct Ownership Interest Jun 1, 2009 100%
Des Holding Co., Inc. Organization, Fort Lee, NJ For-profit 5% Or Greater Indirect Ownership Interest Dec 16, 2007 24.17%
Des-C 2009 Grat Organization, Fort Lee, NJ 5% Or Greater Indirect Ownership Interest Oct 26, 2009 20.62%
Daniel E Straus Individual 5% Or Greater Indirect Ownership Interest Apr 21, 2007 37.67%
Care One Management, LLC Organization, Fort Lee, NJ For-profit Operational/Managerial Control Apr 1, 2007

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1790784304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W. 90 RIDGEWOOD AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-652-1950",
            "fax_number": "201-652-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W. 90 RIDGEWOOD AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-652-1950",
            "fax_number": "201-652-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HEALTHCARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "EXECUTIVE VP & GENERAL COUNSEL",
        "authorized_official_telephone_number": "201-242-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One at Ridgewood Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.