Organization Active NPI

Windsor Gardens Care Center, Inc.

  • Skilled Nursing Facility
  • East Orange, NJ
National Provider Identifier
1932105376
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060722 Issued in NJ
Legal business name
WINDSOR GARDENS CARE CENTER, INC.
Practice address
140 Park Ave
East Orange, NJ 07017-5248
Phone
(973) 677-1500
Fax
(973) 677-1654
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mrs. Deborah Condorelli
Title
VP Finance & Census Development
Phone
(201) 767-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060722 NJ Primary

Addresses

Primary practice location

140 Park Ave
East Orange, NJ 07017-5248

Mailing address

100 McClellen St
Norwood, NJ 07648-1555
Phone (201) 767-0100

Other identifiers 1

IdentifierTypeStateIssuer
4475909MedicaidNJ

Other names 1

  • Garden State Health Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1932105376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCCLELLEN ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481555",
            "telephone_number": "201-767-0100",
            "fax_number": "201-767-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175248",
            "telephone_number": "973-677-1500",
            "fax_number": "973-677-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR GARDENS CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "CONDORELLI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP FINANCE & CENSUS DEVELOPMENT",
        "authorized_official_telephone_number": "201-767-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4475909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden State Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.