Active NPI
Elmwood Evesham Associates, LLC
Doing business as Care One at Evesham
- Skilled Nursing Facility
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ELMWOOD EVESHAM ASSOCIATES, LLC
- Doing business as
- Care One at Evesham
- Practice address
- 870 East Route 70
Marlton, NJ 08053 - Phone
- (856) 396-0005
- Fax
- (856) 396-0004
- NPI assigned
- Jul 18, 2005
- Last updated
- Aug 19, 2015
- 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. A. Alberto Lugo
- Title
- Executive VP & General Counsel
- Phone
- (201) 242-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NJ | Primary |
Addresses
Primary practice location
870 East Route 70
Marlton, NJ 08053
Mailing address
870 East Route 70
Marlton, NJ 08053
Phone (856) 396-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8299901 | Medicaid | NJ |
Other names 1
- Care One at Evesham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030724000003 | NJ | Part A Provider - Skilled Nursing Facility | 8628989431 | Practice locations: Marlton, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831198399. Details of each certification follow.
Skilled nursing facility certification: CCN 315464
- Legal name
- ELMWOOD EVESHAM ASSOCIATES, LLC
- Doing business as
- CARE ONE AT EVESHAM
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 14, 2000
- Last certification
- Apr 18, 2024
- Beds
- 144
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Dec 5, 1997 in NJ
- Enrollment address
- 870 East Route 70
Care One at Evesham
Marlton, NJ 08053-5566 - Nursing home name
- CAREONE AT EVESHAM
- Affiliated entity
- CAREONE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Careone at Evesham
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 14, 2000
- Medicare certification status
- Active
- Certified beds
- 144
- Chain
- Careone
National Provider Directory
National Provider DirectoryLocations
870 Route 70 E
#One
Marlton, NJ 08053
Phone (856) 396-0005
Ownership & 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 25, 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 29, 2006 | 100% |
| Des Holding Co., Inc. | 5% Or Greater Indirect Ownership Interest | Sep 29, 2006 | |
| Des-C 2009 Grat | 5% Or Greater Indirect Ownership Interest | Oct 26, 2009 | 20.62% |
| Daniel E Straus | 5% Or Greater Direct Ownership Interest | Jul 1, 2000 | 37.67% |
| Care One Management, LLC | Operational/Managerial Control | Apr 1, 2007 |
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Care One at Hanover Township
- Skilled Nursing Facility
- Whippany, NJ
- NPI 1912267279
Care One LLC, Des 2009 GST Trust, Des Holding Co., Inc., Des-C 2009 Grat
-
dba Care One at Wellington
- 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
-
dba Care One at Wayne
- 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
-
dba Oradell Health Care Center
- Skilled Nursing Facility
- Oradell, NJ
- NPI 1760481444
Des 2009 GST Trust, Healthbridge Management LLC
-
dba Woodcrest Health Care Center
- Skilled Nursing Facility
- New Milford, NJ
- NPI 1386643062
Healthbridge Management LLC
-
dba Ascend Home Health
- 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
-
dba Care One at The Highlands
- 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
-
dba Care One at East Brunswick
- 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
-
dba Care One at Madison Avenue
- 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
-
dba Care One at Moorestown
- 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
-
dba Care One at Morris
- 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
-
dba Care One at Teaneck
- 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
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Cherry Hill, NJ
- NPI 1821273616
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Marlton, NJ
- NPI 1578608162
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Cherry Hill, NJ
- NPI 1396896023
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": "1439942400000",
"number": "1831198399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 EAST ROUTE 70",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-396-0005",
"fax_number": "856-396-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 EAST ROUTE 70",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-396-0005",
"fax_number": "856-396-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMWOOD EVESHAM ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "A.",
"authorized_official_middle_name": "ALBERTO",
"authorized_official_title_or_position": "EXECUTIVE VP & GENERAL COUNSEL",
"authorized_official_telephone_number": "201-242-4000",
"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": "8299901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care One at Evesham",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.