Stratford Nursing and Convalescent Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060405 Issued in NJ

Legal business name

STRATFORD NURSING AND CONVALESCENT CENTER, INC.

Practice address

18 W Laurel Rd
Stratford, NJ 08084-1718

Phone

(856) 784-2400

Fax

(856) 783-4594

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Louis Neiman

Title

Executive Director

Phone

(856) 784-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stratford Nursing Center Other name

Tax ID family

Laurel 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.

• Laurel Healthcare LLC

  • Skilled Nursing Facility
  • Stratford, NJ
  • NPI 1730466392
  NPD tax ID

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922094911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W LAUREL RD",
            "address_2": "P. O. BOX 613",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841718",
            "telephone_number": "856-784-2400",
            "fax_number": "856-783-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841718",
            "telephone_number": "856-784-2400",
            "fax_number": "856-783-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD NURSING AND CONVALESCENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-784-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4469402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratford Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sterling Pharmacy, Inc.
• Kelly Zale Stevenson, PA
• Stratford Ambulance Association Inc
• Stratford Board of Education
• Stratford Center for Spinal Health, LLC
• Marianne Sturr, D.O.
• Huda Sufian, R.PH
• Justin Micheal Sullivan, PA-C
• Allen F Summerville Sr., LSW
• Surgical Nurse Assistant

• Skilled Nursing Facility in Stratford, NJ
• Providers in Stratford, 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 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.