Organization Active NPI

Harrogate Incorporated

  • Skilled Nursing Facility
  • Lakewood, NJ
National Provider Identifier
1811970940
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061528 Issued in NJ
Legal business name
HARROGATE INCORPORATED
Practice address
400 Locust St
Lakewood, NJ 08701-7408
Phone
(732) 905-7070
Fax
(732) 905-2824
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mr. Charles Benjamin
Title
Executive Director/Trustee
Phone
(732) 905-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061528 NJ Primary

Addresses

Primary practice location

400 Locust St
Lakewood, NJ 08701-7408

Mailing address

400 Locust St
Lakewood, NJ 08701-7408
Phone (732) 905-7070

Other names 1

  • Harrogate Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000606 NJ Part A Provider - Skilled Nursing Facility 2365615374 Practice locations: Lakewood, NJ

Skilled nursing facility certification: CCN 315262

Legal name
HARROGATE INCORPORATED
Doing business as
HARROGATE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 16, 1988
Last certification
Aug 15, 2024
Beds
68
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
400 Locust St
Lakewood, NJ 08701-7408
Nursing home name
HARROGATE VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harrogate VillageCCN 315262
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
May 16, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6858.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0937361Harrogate400 Locust Street, Lakewood, NJ 08701Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Joseph Kamsar Individual Corporate DirectorResident Trustee Jul 1, 2019
Managing Control - Governing BodyResident Trustee Jul 1, 2019
Peter J Wright Individual Corporate OfficerSecretary & Trustee Jun 22, 1993
Corporate DirectorSecretary & Trustee Jun 22, 1993
Managing Control - Governing BodySecretary & Trustee Feb 1, 2025
Harrogate Incorporated Organization, Lakewood, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 14, 1982 100%
Operational/Managerial Control Sep 14, 1982
Edwin J Omalley Individual Corporate OfficerTrustee Sep 14, 1982
Corporate DirectorTrustee Sep 14, 1982
Managing Control - Governing BodyTrustee Dec 4, 2024
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Oct 21, 2024
Fellowship Life, Inc. Organization, Basking Ridge, NJ Management services company Operational/Managerial Control Jan 1, 2026
Andrew a Vida Individual Operational/Managerial Control Nov 1, 1993
Adp of the SNF Nov 1, 1993
William J Slivka Individual Corporate OfficerPresident & Trustee May 1, 1986
Corporate DirectorPresident & Trustee May 1, 1986
Managing Control - Governing BodyPresident & Trustee Dec 4, 2024
Charles Benjamin Individual Corporate OfficerTrustee Dec 4, 2024
Corporate DirectorDirector Dec 27, 2015
Operational/Managerial ControlExecutive Director Dec 27, 2015
Managing Control - Governing BodyTrustee Dec 4, 2024
Adp of the SNF Jun 11, 2025
Ocean County Family Care, P.a. Organization, Jackson, NJ LLC Adp of the SNF Nov 1, 1993
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Jan 21, 2025
Zimmet Healthcare Services Group LLC Organization, Manalapan, NJ LLC Adp of the SNF May 1, 2021
Webster Bank, National Association Organization, Stamford, CT Corporation Adp of the SNF Nov 29, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1811970940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017408",
            "telephone_number": "732-905-7070",
            "fax_number": "732-905-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017408",
            "telephone_number": "732-905-7070",
            "fax_number": "732-905-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARROGATE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/TRUSTEE",
        "authorized_official_telephone_number": "732-905-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrogate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.