Active NPI
HCC, LLC
- Skilled Nursing Facility
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HCC, LLC
- Practice address
- 188 Highway 34
Holmdel, NJ 07733 - Phone
- (732) 946-4200
- Fax
- (732) 946-3999
- NPI assigned
- Jul 18, 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. Kevin Paul Breslin
- Title
- Executive VP
- Phone
- (201) 242-4004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NJ | Primary |
Addresses
Primary practice location
188 Highway 34
Holmdel, NJ 07733
Mailing address
188 Highway 34
Holmdel, NJ 07733
Phone (732) 946-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488202 | Medicaid | NJ |
Other names 1
- Care One at Holmdel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060209000669 | NJ | Part A Provider - Skilled Nursing Facility | 8325053481 | Practice locations: Holmdel, NJ |
Skilled nursing facility certification: CCN 315092
- Legal name
- HCC LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 4, 1968
- Last certification
- Mar 13, 2024
- Beds
- 130
- Ownership / control type
- Corporation
- Multi-facility organization
- CareOne, LLC
- Organization structure
- LLC
- Enrollment address
- 188 State Route 34
Holmdel, NJ 07733-2125 - Nursing home name
- CAREONE AT HOLMDEL
- Affiliated entity
- CAREONE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Careone at Holmdel
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 4, 1968
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Careone
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Healthbridge Management LLC | Operational/Managerial Control | Jul 28, 2008 | |
| Des 2009 GST Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | |
| David Baruch | Corporate Officer | Dec 1, 2021 | |
| W-2 Managing Employee | Dec 1, 2021 | ||
| Care One LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2004 | 100% |
| Des Holding Co., Inc. | 5% Or Greater Indirect Ownership Interest | Sep 1, 2004 | 24.17% |
| Des-C 2009 Grat | 5% Or Greater Indirect Ownership Interest | Oct 26, 2009 | 20.62% |
| Daniel E Straus | 5% Or Greater Direct Ownership Interest | Feb 20, 2001 | |
| Care One Management, LLC | Operational/Managerial Control | Sep 1, 2004 |
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Whippany, NJ
- NPI 1912267279
Care One LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat
-
- Skilled Nursing Facility
- Hackensack, NJ
- NPI 1174522833
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Wayne, NJ
- NPI 1861491540
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Oradell, NJ
- NPI 1760481444
Des 2009 GST Trust, Healthbridge Management LLC
-
- Skilled Nursing Facility
- New Milford, NJ
- NPI 1386643062
Healthbridge Management LLC
-
- Home Health Agency
- Rochelle Park, NJ
- NPI 1639355720
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat
-
- Skilled Nursing Facility
- Edison, NJ
- NPI 1427057983
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- East Brunswick, NJ
- NPI 1669471124
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Morristown, NJ
- NPI 1316946007
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Moorestown, NJ
- NPI 1265431969
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Parsippany, NJ
- NPI 1851390546
Care One LLC, Care One Management, LLC, Des 2009 GST Trust, Des-C 2009 Grat, Healthbridge Management LLC
-
- Skilled Nursing Facility
- Teaneck, NJ
- NPI 1174669204
Care One LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat, Healthbridge Management LLC
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1164680500
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439424000000",
"number": "1821097387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 HIGHWAY 34",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-946-4200",
"fax_number": "732-946-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 HIGHWAY 34",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-946-4200",
"fax_number": "732-946-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2015-08-13",
"status": "A",
"authorized_official_last_name": "BRESLIN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "201-242-4004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4488202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care One at Holmdel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.