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LEISURE PARK HEALTH CENTER
NPI 1376190660
Assisted Living Facility in Lakewood, NJ

Active since August 21, 2019CLIA 31D0977521 · Waiver
1400 ROUTE 70, LAKEWOOD, NJ 08701(732) 370-0444(732) 370-1783 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2021, May 7, 2020, Aug 21, 2019 (3 updates tracked since 2019).

About Leisure Park Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEISURE PARK HEALTH CENTER (NPI 1376190660) is a healthcare organization registered as an assisted living facility in Lakewood, New Jersey and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Jennifer F. Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1376190660
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH NJ TENANT LLC
Location Address1400 ROUTE 70Lakewood, NJ 08701-5949
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Phone(732) 370-0444
Fax(732) 370-1783
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateAugust 21, 2019
Last NPPES UpdateOctober 11, 20213 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1376190660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1400 ROUTE 70, Lakewood, NJ 08701
Open in Google Maps ↗

Other Names 1

Doing Business AsLeisure Park Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0977521

Leisure Park · Lakewood, NJ
Active · expires Aug 28, 2026
CLIA Number31D0977521
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorCynthia Prato
Laboratory Phone(732) 370-0444
Laboratory LocationLeisure Park1400 Route 70, Lakewood, NJ 08701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDINE HARRIS
Licensed Practical Nurse
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
MRS. JAMIE MARIE GUADAGNINO MA SLP
Speech-Language Pathologist
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
HEATHER MARIE CHERNOSKY OTR/L
Occupational Therapist (Physical Rehabilitation)
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
SNH NJ TENANT LLC
Assisted Living Facility
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
FS LEISURE PARK TENANT TRUST
Assisted Living Facility
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
SNH NJ TENANT LLC
Alzheimer Center (Dementia Center)
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 370-0444
ELIZABETH CONNELLY BROWN
Social Worker (Clinical)
1400 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 674-5825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Snh Nj Tenant LLC's NPI number?

The NPI number for Snh Nj Tenant LLC is 1376190660. It was assigned to this organization in the NPPES registry on August 21, 2019. The provider is doing business as Leisure Park Health Center.

Where is Snh Nj Tenant LLC located?

Snh Nj Tenant LLC is located at 1400 Route 70, Lakewood, NJ 08701. The listed phone number is (732) 370-0444.

What is Snh Nj Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Snh Nj Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0977521) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Snh Nj Tenant LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.