Active NPI
Harrogate Incorporated
- Skilled Nursing Facility
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061528
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 400 Locust St
Lakewood, NJ 08701-7408 - Nursing home name
- HARROGATE VILLAGE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harrogate Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- May 16, 1988
- Medicare certification status
- Active
- Certified beds
- 68
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 |
|---|---|---|---|
| 31D0937361 | Harrogate | Certificate of waiver | Dec 15, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph Kamsar | Corporate Director | Jul 1, 2019 | |
| Managing Control - Governing Body | Jul 1, 2019 | ||
| Peter J Wright | Corporate Officer | Jun 22, 1993 | |
| Corporate Director | Jun 22, 1993 | ||
| Managing Control - Governing Body | Feb 1, 2025 | ||
| Harrogate Incorporated | 5% Or Greater Direct Ownership Interest | Sep 14, 1982 | 100% |
| Operational/Managerial Control | Sep 14, 1982 | ||
| Edwin J Omalley | Corporate Officer | Sep 14, 1982 | |
| Corporate Director | Sep 14, 1982 | ||
| Managing Control - Governing Body | Dec 4, 2024 | ||
| Baker Tilly US LLP | Adp of the SNF | Oct 21, 2024 | |
| Fellowship Life, Inc. | Operational/Managerial Control | Jan 1, 2026 | |
| Andrew a Vida | Operational/Managerial Control | Nov 1, 1993 | |
| Adp of the SNF | Nov 1, 1993 | ||
| William J Slivka | Corporate Officer | May 1, 1986 | |
| Corporate Director | May 1, 1986 | ||
| Managing Control - Governing Body | Dec 4, 2024 | ||
| Charles Benjamin | Corporate Officer | Dec 4, 2024 | |
| Corporate Director | Dec 27, 2015 | ||
| Operational/Managerial Control | Dec 27, 2015 | ||
| Managing Control - Governing Body | Dec 4, 2024 | ||
| Adp of the SNF | Jun 11, 2025 | ||
| Ocean County Family Care, P.a. | Adp of the SNF | Nov 1, 1993 | |
| Baker Tilly Advisory Group LP | Adp of the SNF | Jan 21, 2025 | |
| Zimmet Healthcare Services Group LLC | Adp of the SNF | May 1, 2021 | |
| Webster Bank, National Association | 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.
-
- Internal Medicine Physician
- Jackson, NJ
- NPI 1821019787
Adp of the SNF
-
- Internal Medicine Physician
- Brick, NJ
- NPI 1831195601
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.