Active NPI
Abigail House for Nursing and Rehabilitation LLC
- Skilled Nursing Facility
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060418
- Legal business name
- ABIGAIL HOUSE FOR NURSING AND REHABILITATION LLC
- Practice address
- 1105 - 1115 Linden St
Camden, NJ 08102-1029 - Phone
- (856) 365-8500
- Fax
- (856) 365-0133
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chaya Bleier
- Title
- Partner
- Phone
- (856) 365-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060418 | NJ | Primary |
Addresses
Primary practice location
1105 - 1115 Linden St
Camden, NJ 08102-1029
Mailing address
1105 - 1115 Linden St
Camden, NJ 08102-1029
Phone (856) 365-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006874 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030711000044 | NJ | Part A Provider - Skilled Nursing Facility | 1355251240 | Practice locations: Camden, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952321754. Details of each certification follow.
Skilled nursing facility certification: CCN 315267
- Legal name
- ABIGAIL HOUSE FOR NURSING AND REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 8, 1988
- Last certification
- Apr 17, 2025
- Beds
- 188
- Ownership / control type
- Partnership
- Most recent change of ownership
- Jul 16, 2003
- Organization structure
- LLC
- Incorporated
- Mar 31, 2003 in NJ
- Enrollment address
- 1105 Linden St
Camden, NJ 08102-1029 - Nursing home name
- ABIGAIL HOUSE FOR NURSING & REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Abigail House for Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 8, 1988
- Medicare certification status
- Active
- Certified beds
- 188
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0670376 | Abigail House for Nursing & Rehabilitation | Certificate of waiver | Dec 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Chaya Bleier | 5% Or Greater Direct Ownership Interest | Aug 25, 2005 | 50% |
| Shloimi Schon | W-2 Managing Employee | Oct 19, 2003 | 100% |
| Simon Young | Corporate Director | Jul 28, 2003 | |
| Jacqueline Braunstein | 5% Or Greater Direct Ownership Interest | Mar 31, 2003 | 50% |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Laurel Springs, NJ
- NPI 1679552921
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1811080641
Affiliated clinicians 1
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": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1952321754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 - 1115 LINDEN ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081021029",
"telephone_number": "856-365-8500",
"fax_number": "856-365-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 - 1115 LINDEN ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081021029",
"telephone_number": "856-365-8500",
"fax_number": "856-365-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIGAIL HOUSE FOR NURSING AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "BLEIER",
"authorized_official_first_name": "CHAYA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "856-365-8500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006874",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.