Active NPI
Tower Lodge Care Center, LLC
- Skilled Nursing Facility
- Wall, NJ
National Provider Identifier
1811089626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TOWER LODGE CARE CENTER, LLC
- Practice address
- 1506 Gully Rd
Wall, NJ 07719-4443 - Phone
- (732) 681-1400
- NPI assigned
- Sep 29, 2006
- 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. Pinchus Feigenbaum
- Title
- Partner
- Phone
- (732) 681-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1506 Gully Rd
Wall, NJ 07719-4443
Mailing address
1506 Gully Rd
Wall, NJ 07719-4443
Phone (732) 681-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488806 | 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 |
|---|---|---|---|---|
| O20090506000127 | NJ | Part A Provider - Skilled Nursing Facility | 7719035534 | Practice locations: Wall, NJ |
Skilled nursing facility certification: CCN 315069
- Legal name
- TOWER LODGE CARE CENTER, LLC
- Doing business as
- TOWER LODGE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 22, 1967
- Last certification
- Sep 18, 2024
- Beds
- 60
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Incorporated
- Sep 1, 1997 in NJ
- Enrollment address
- 1506 Gully Rd
Wall, NJ 07719-4443 - Nursing home name
- TOWER LODGE CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tower Lodge Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 22, 1967
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0948037 | Tower Lodge Care Center | Certificate of waiver | Feb 15, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Yaakov Fisher | W-2 Managing Employee | Jul 19, 2021 | 75% |
| Pinchas Feigenbaum | 5% Or Greater Direct Ownership Interest | Mar 26, 2009 | |
| Chanie Feigenbaum | 5% Or Greater Direct Ownership Interest | Mar 26, 2009 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manalapan, NJ
- NPI 1437156288
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1811089626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 GULLY RD",
"city": "WALL",
"state": "NJ",
"postal_code": "077194443",
"telephone_number": "732-681-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 GULLY RD",
"city": "WALL",
"state": "NJ",
"postal_code": "077194443",
"telephone_number": "732-681-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER LODGE CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "FEIGENBAUM",
"authorized_official_first_name": "PINCHUS",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "732-681-1400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4488806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.