Active NPI
Daughters of Israel, Inc.
- Skilled Nursing Facility
- West Orange, NJ
National Provider Identifier
1952463044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030703
- Legal business name
- DAUGHTERS OF ISRAEL, INC.
- Practice address
- 1155 Pleasant Valley Way
West Orange, NJ 07052 - Phone
- (973) 731-5100
- Fax
- (973) 731-0280
- NPI assigned
- Dec 14, 2006
- 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
- Ms. Susan Grosser, LNHA
- Title
- Executive Director
- Phone
- (973) 400-3301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030703 | NJ | Primary |
Addresses
Primary practice location
1155 Pleasant Valley Way
West Orange, NJ 07052
Mailing address
1155 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 731-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4477103 | 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 |
|---|---|---|---|---|
| O20080304000727 | NJ | Part A Provider - Skilled Nursing Facility | 8820901663 | Practice locations: West Orange, NJ |
Skilled nursing facility certification: CCN 315029
- Legal name
- DAUGHTERS OF ISRAEL INC
- Doing business as
- DAUGHTERS OF ISRAEL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Oct 18, 2024
- Beds
- 303
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 25, 1906 in NJ
- Enrollment address
- 1155 Pleasant Valley Way
West Orange, NJ 07052-1424 - Nursing home name
- DAUGHTERS OF ISRAEL PLEASANT VALLEY HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Daughters of Israel Pleasant Valley Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 279
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Colleen Thompson | Corporate Officer | Mar 15, 2024 | |
| Operational/Managerial Control | Mar 15, 2024 | ||
| Trustee of the SNF | Mar 15, 2024 | ||
| Adp of the SNF | Mar 15, 2024 | ||
| Daughters of Israel Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Operational/Managerial Control | Jan 1, 1966 | ||
| Direct Ownership Interest | Jan 1, 1966 | 100% | |
| Nicholas S Guittari | Adp of the SNF | Sep 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bayonne, NJ
- NPI 1841354537
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Livingston, NJ
- NPI 1457497356
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1952463044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 PLEASANT VALLEY WAY",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-731-5100",
"fax_number": "973-731-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 PLEASANT VALLEY WAY",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-731-5100",
"fax_number": "973-731-0280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUGHTERS OF ISRAEL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "GROSSER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-400-3301",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "030703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4477103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.