NPIMap

Organization Active NPI

SJF CCRC, Inc

  • Skilled Nursing Facility
  • Voorhees, NJ
National Provider Identifier
1922015122
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
04002 Issued in NJ
Legal business name
SJF CCRC, INC
Practice address
1100 Laurel Oak Rd
Lions Gate Health Center
Voorhees, NJ 08043-4363
Phone
(856) 679-2270
Fax
(856) 667-5042
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
David Thompson
Title
Ceo
Phone
(856) 679-2211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 04A003 NJ
Alzheimer Center (Dementia Center) 311500000X
Skilled Nursing Facility 314000000X 04002 NJ Primary

Addresses

Primary practice location

1100 Laurel Oak Rd
Lions Gate Health Center
Voorhees, NJ 08043-4363

Mailing address

1110 Laurel Oak Rd
Executive Offices
Voorhees, NJ 08043-4344
Phone (856) 679-2210

Other identifiers 1

IdentifierTypeStateIssuer
0124737MedicaidNJ

Other names 1

  • Lions Gate Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000133 NJ Part A Provider - Skilled Nursing Facility 4981608114 Practice locations: Voorhees, NJ

Skilled nursing facility certification: CCN 315499

Legal name
SJF CCRC, INC
Doing business as
LIONS GATE CCRC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 20, 2007
Last certification
Feb 13, 2025
Beds
110
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1999 in NJ
Enrollment address
1100 Laurel Oak Rd
Voorhees, NJ 08043-4363
Nursing home name
LIONS GATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lions GateCCN 315499
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 20, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11097.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2191810Lions Gate1100 Laurel Oak Road, Voorhees, NJ 08043Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
SJF CCRC Inc2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1110 Laurel Oak Rd
Ofc
Voorhees, NJ 08043

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
Adaora O Okoli Umeweni Individual Contracted Managing EmployeeMD; Jun 30, 2007
Adp of the SNF Jan 10, 2025
Cristina Palella Individual W-2 Managing EmployeeAd; Jan 31, 2022
Adp of the SNF Jan 10, 2025
David Thompson Individual Corporate DirectorCeo Nov 5, 2019
W-2 Managing EmployeeCeo Jun 14, 2021
Meredith Becker Individual W-2 Managing EmployeeCoo Feb 11, 2022

Owners & managing parties with NPI records 1

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

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.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1922015122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LAUREL OAK RD",
            "address_2": "EXECUTIVE OFFICES",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434344",
            "telephone_number": "856-679-2210",
            "fax_number": "856-667-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAUREL OAK RD",
            "address_2": "LIONS GATE HEALTH CENTER",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434363",
            "telephone_number": "856-679-2270",
            "fax_number": "856-667-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJF CCRC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-679-2211"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "04A003",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "04002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124737",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lions Gate",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lions Gate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.