NPIMap

Organization Active NPI

CG Healthcare LLC

Doing business as Cedar Hill

  • Skilled Nursing Facility
  • Cedar Grove, NJ
National Provider Identifier
1841287083
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
306000 Issued in NJ
Legal business name
CG HEALTHCARE LLC
Doing business as
Cedar Hill
Practice address
110 Grove Ave
Cedar Grove, NJ 07009-1436
Phone
(973) 571-6600
NPI assigned
Oct 3, 2005
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Chavie Katz
Title
Supervisor
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 306000 NJ Primary

Addresses

Primary practice location

110 Grove Ave
Cedar Grove, NJ 07009-1436

Mailing address

14 C 53Rd Street
Suite 220
Brooklyn, NY 11232-3614
Phone (718) 567-0400

Other identifiers 1

IdentifierTypeStateIssuer
306000OtherNJSTATE FACILITY #

Other names 1

  • Cedar Hill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000608 NJ Part A Provider - Skilled Nursing Facility 0648238766 Practice locations: Cedar Grove, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841287083. Details of each certification follow.

Skilled nursing facility certification: CCN 315357

Legal name
CG HEALTHCARE LLC
Doing business as
ALARIS HEALTH AT CEDAR GROVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1996
Last certification
Jul 9, 2024
Beds
230
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 5, 2004 in NJ
Enrollment address
110 Grove Avenue
Cedar Grove, NJ 07009-1436
Nursing home name
ALARIS HEALTH AT CEDAR GROVE
Affiliated entity
ALARIS HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alaris Health at Cedar GroveCCN 315357 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
230157.3 residents per day on average
Chain
Alaris Health8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
CG Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
CG Healthcare LLC Organization, Brooklyn, NY Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Sep 27, 2004 100%
Samuel Stern Individual Corporate OfficerCfo Sep 27, 2004
Corporate Director Dec 21, 2004
W-2 Managing Employee Sep 27, 2004
Avery Eisenreich Individual 5% Or Greater Direct Ownership Interest Sep 27, 2004 99%
Grace Reyes Individual W-2 Managing EmployeeAdministrator Dec 1, 2018 90%

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.

Affiliated clinicians 10

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1841287083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 C 53RD STREET",
            "address_2": "SUITE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323614",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CHAVIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "306000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY #",
            "identifier": "306000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.