Park Grove Healthcare & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK GROVE HEALTHCARE & REHABILITATION CENTER LLC

Doing business as

Grove Park Healthcare and Rehabilitation Center

Practice address

101 N Grove St
East Orange, NJ 07017-4712

Phone

(973) 672-1700

NPI assigned

Jun 12, 2019

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Kurland

Title

Ceo

Phone

(732) 431-7420

Specialties & licenses 1

Addresses

Other names 1

• Grove Park Healthcare and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982263000. Details of each certification follow.

• CCN 315147 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315147

Legal name

PARK GROVE HEALTHCARE & REHABILITATION CENTER LLC

Doing business as

GROVE PARK HEALTHCARE AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1974

Last certification

Oct 18, 2024

Beds

185

Ownership / control type

Individual

Multi-facility organization

Allaire Health Services

Organization structure

LLCProprietary

Incorporated

May 29, 2019 in NJ

Enrollment address

101 N Grove St
East Orange, NJ 07017-4712

Nursing home name

GROVE PARK HEALTHCARE AND REHABILITATION CENTER

Affiliated entity

ALLAIRE HEALTH SERVICES

Listed as

Grove Park Healthcare and Rehabilitation CenterCCN 315147 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Dec 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

185171.6 residents per day on average

Chain

Allaire Health Services20 facilities in the chain

Penalties (3 years)

1Fines totaling $50,642

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Samuel A Banigo, M.D.,

  • Adolescent Medicine (Internal Medicine) Physician
  • Irvington, NJ
  • NPI 1063503555
  NPD (past)
• Chetankumar Keshavbhai Chauhan, MD

  • Hospitalist Physician
  • Colonia, NJ
  • NPI 1801024559
  NPD (past)
• Kumar M Ramdas, M.D.

  • Internal Medicine Physician
  • Maplewood, NJ
  • NPI 1780663898
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samuel A Banigo, M.D.,

  • Adolescent Medicine (Internal Medicine) Physician
  • Irvington, NJ
  • NPI 1063503555

  Nursing home

  Care Compare affiliation
• Chetankumar Keshavbhai Chauhan, MD

  • Hospitalist Physician
  • Colonia, NJ
  • NPI 1801024559

  Nursing home

  Care Compare affiliation
• Robert A Clarke, MD

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1114934007

  Nursing home

  Care Compare affiliation
• Kumar M Ramdas, M.D.

  • Internal Medicine Physician
  • Maplewood, NJ
  • NPI 1780663898

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1982263000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 REAGAN CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013263",
            "telephone_number": "732-431-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N GROVE ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174712",
            "telephone_number": "973-672-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK GROVE HEALTHCARE & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "KURLAND",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-431-7420"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grove Park Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grove Park Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suk-Woon Pang, M.D.
• Amandeep Pannu
• Maria Pilar Fatima Angat Paraiso-Darvin, P.T.
• Concepcion C Paras, R.N.
• Park Avenue Chiropractic PC
• Esther Park
• Sangjun Park, PHARMD
• So Hyun Park, OTR/L
• Yeojin Park
• Yong Moo Park, M.D.

• Skilled Nursing Facility in East Orange, NJ
• Providers in East Orange, 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 12, 2025; 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.

Verify at the official NPI Registry.