NPIMap

Organization Active NPI

White House Healthcare and Rehabilitation Center Inc.

  • Skilled Nursing Facility
  • Orange, NJ
National Provider Identifier
1942275706
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NJ60721 Issued in NJ
Legal business name
WHITE HOUSE HEALTHCARE AND REHABILITATION CENTER INC.
Practice address
560 Berkeley Ave
Orange, NJ 07050-2109
Phone
(973) 672-6500
Fax
(973) 672-6611
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. Eliezer M Grossman, LNHA
Title
President
Phone
(973) 672-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NJ60721 NJ Primary

Addresses

Primary practice location

560 Berkeley Ave
Orange, NJ 07050-2109

Mailing address

560 Berkeley Ave
Orange, NJ 07050-2109
Phone (973) 672-6500

Other identifiers 1

IdentifierTypeStateIssuer
4476301MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1942275706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BERKELEY AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502109",
            "telephone_number": "973-672-6500",
            "fax_number": "973-672-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BERKELEY AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502109",
            "telephone_number": "973-672-6500",
            "fax_number": "973-672-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE HEALTHCARE AND REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-672-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "NJ60721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4476301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.