Allendale Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060201 Issued in NJ

Legal business name

ALLENDALE NURSING HOME INC

Practice address

85 Harreton Rd
Allendale, NJ 07401-1317

Phone

(201) 825-0660

Fax

(201) 825-0377

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hector R Giancarlo, MD

Title

President

Phone

(201) 825-0660

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Allendale Nursing Home, Inc

  • Custodial Care Facility
  • Allendale, NJ
  • NPI 1427449537
  NPPES parent name

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881623908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRETON RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011317",
            "telephone_number": "201-825-0660",
            "fax_number": "201-825-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARRETON RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011317",
            "telephone_number": "201-825-0660",
            "fax_number": "201-825-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENDALE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-825-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-5497",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allendale Assisted Living LLC
• Allendale Dental PC
• Allendale Nursing Home, Inc
• Allendale Operator LLC
• Gina Baltzer
• Jason Berenberg, LPC, LCADC
• Eugene James Berger, M.S.W.

• All providers in Allendale, NJ
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.