Jimmie Leeds Senior Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JIMMIE LEEDS SENIOR CARE, LLC

Doing business as

Spring Village at Galloway

Practice address

46 W Jimmie Leeds Rd
Galloway, NJ 08205-9401

Phone

(609) 404-1099

Fax

(609) 404-1477

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By 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

Martin Steinberger

Title

Manager of Parent Company

Phone

(407) 999-2400

Specialties & licenses 1

Addresses

Other names 1

• Spring Village at Galloway Doing business as

Tax ID family

Jimmie Leeds Senior Care 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.

• Jimmie Leeds Senior Care, LLC

  dba Spring Village at Galloway

  • Assisted Living Facility
  • Galloway, NJ
  • NPI 1376946947
  NPD tax ID

Locations

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1851794838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LEGION PL",
            "address_2": "SUITE 1750, C/O ROC SENIORS, ATTN: AMIT GHOSH",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011058",
            "telephone_number": "407-999-2400",
            "fax_number": "407-999-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059401",
            "telephone_number": "609-404-1099",
            "fax_number": "609-404-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMIE LEEDS SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "STEINBERGER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGER OF PARENT COMPANY",
        "authorized_official_telephone_number": "407-999-2400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Village at Galloway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Cella-Roe, LCSW, LLC
• Jessica Apel LCSW LLC
• Jessica Ring
• Bharat J Jhaveri, MD, M.D.
• Jimmie Leeds Senior Care, LLC (Spring Village at Galloway)
• Kiarrah Takiyah Johnson, ATC
• Naomie Johnson
• Brianna Rose Jones, M.S., CCC-SLP
• Joseph L Destefano MD LLC
• JRC Counseling LLC

• Assisted Living Facility in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.