Grande Center for Post Acute and Nursing Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANDE CENTER FOR POST ACUTE AND NURSING CARE LLC

Doing business as

Excel Care at Dover

Practice address

65 N Sussex St
Dover, NJ 07801-3949

Phone

(973) 361-5200

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(877) 567-0402

Specialties & licenses 3

Addresses

Other names 1

• Excel Care at Dover Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831859735. Details of each certification follow.

• CCN 315355 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315355

Legal name

GRANDE CENTER FOR POST ACUTE AND NURSING CARE LLC

Doing business as

EXCEL CARE AT DOVER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1996

Last certification

May 31, 2024

Beds

155

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Dec 20, 2021

Organization structure

LLCProprietary

Enrollment address

65 N Sussex St
Dover, NJ 07801-3949

Nursing home name

EXCEL CARE AT DOVER

Affiliated entity

EXCELCARE

Listed as

Excel Care at DoverCCN 315355 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

155144.0 residents per day on average

Chain

Excelcare8 facilities in the chain

Penalties (3 years)

1Fines totaling $139,113

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

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

• Kristen Blackmon

  • Family Medicine Physician
  • New York, NY
  • NPI 1205255932

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• William F Grella, MD

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1568497824
  NPD (past)

Affiliated clinicians 3

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

• Sunit B Desai, M.D.

  • Internal Medicine Physician
  • Union Beach, NJ
  • NPI 1861496457

  Nursing home

  Care Compare affiliation
• William F Grella, MD

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1568497824

  Nursing home

  Care Compare affiliation
• Pinakin Pathak, M.D.

  • Internal Medicine Physician
  • Wharton, NJ
  • NPI 1679540819

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1831859735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "877-567-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N SUSSEX ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013949",
            "telephone_number": "973-361-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE CENTER FOR POST ACUTE AND NURSING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Care at Dover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Jay Golombek, M.D.
• Jewel Gomez, PHARMD
• Philip Goncalves, PA-C
• Gustavo Gonzales, APN,C
• Leoncio G Gonzalez, MD
• Michael G Grant, DC
• Wayne Lewis Greene, MD
• Dahiana P. Grisales, LCSW
• Anna Maria Gulik, NURSE PRACTITIONER
• Jeremy Michael Guthartz

• Skilled Nursing Facility in Dover, NJ
• Providers in Dover, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.

Verify at the official NPI Registry.