COUNTRY MANOR – NPI #1396779245
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COUNTRY MANOR is a skilled nursing facility (SNF) located in TOMS RIVER, NJ. NPPES has assigned the NPI number 1396779245 to COUNTRY MANOR on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNTRY MANOR” is a dba name, the actual legal business name for this organization is CENTER STATE HEALTH GROUP INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 18 years ago on Jan 14, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNTRY MANOR below.

NPI Profile for
CENTER STATE HEALTH GROUP INC.

NPI Number
1396779245
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER STATE HEALTH GROUP INC.
Doing Business As (dba): COUNTRY MANOR
Primary location
16 WHITESVILLE RD
TOMS RIVER, NJ 08753-4107
Phone: (732) 736-5106 Fax: (732) 286-3165
Mailing address
54 NEWCOMBE ST
BELLEVILLE, NJ 07109-1236
Phone: (973) 450-2908 Fax: (973) 844-4705
Organization Subpart
No
Authorized Official
DAVID SWEENEY
CFO
Phone: (908) 851-8355
Updated
Identifiers

Identifiers for COUNTRY MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ4494407
MEDICAIDNJ4494504
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
NJ 061503

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.