Bloomingdale Operating Co, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061631 Issued in NJ

Legal business name

BLOOMINGDALE OPERATING CO, L.P.

Practice address

1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256

Phone

(856) 663-4044

Fax

(856) 665-5708

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

SENIORS MANAGEMENT NORTH, INC.As reported in NPPES

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

Addresses

Other identifiers 2

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": "1801895156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031924",
            "telephone_number": "973-283-1700",
            "fax_number": "856-665-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WYNNWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023256",
            "telephone_number": "856-663-4044",
            "fax_number": "856-665-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE OPERATING CO, L.P.",
        "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": "061631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RES-PROV",
            "identifier": "6775811",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6775802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle H Blithe, LSW
• Tara Blizzard, CCC,SLP
• Michele Bloch, DPT
• Christina Blood, PA-C
• Nicholas Blood
• Melissa Bluford
• Lawrence David Blum, M.D.
• Susan Blumberg, CCC-SLP
• Maria D Bocco, RPH
• Brijesh S. Bodiwala, D.O.

• Skilled Nursing Facility in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Skilled Nursing Facility in New Jersey

• 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.