FOREST MANOR HEALTH CARE CENTER
NPI 1376664177
Skilled Nursing Facility in Blairstown, NJ

Active since April 02, 2007CLIA 31D0674722 · Waiver
145 STATE PARK ROAD, BLAIRSTOWN, NJ 07825(908) 459-4128(908) 459-4513 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Forest Manor Health Care Center NPPES

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

FOREST MANOR HEALTH CARE CENTER (NPI 1376664177) is a healthcare organization registered as a skilled nursing facility in Blairstown, New Jersey and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William A Nicholson, Manager, as its authorized official.

NPPES Registry Identity

NPI1376664177
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTI HEALTHCARE I LLC
Location Address145 STATE PARK ROADBlairstown, NJ 07825-4206
Mailing AddressPo Box 283Hope, NJ 07844-0283 · (908) 459-4128 · Fax (908) 459-4513
Fax(908) 459-4513
Organization SubpartNo
Authorized OfficialWilliam A NicholsonManager · (908) 459-4128
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1376664177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NJ · 062103
Definition
(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.
145 STATE PARK ROAD, Blairstown, NJ 07825

Other Names 1

Doing Business AsForest Manor Health Care Center

Other Identifiers 1

Medicaid9032401NJ

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 31D0674722

Forest Manor Health Care Center · Hope, NJ
Active · expires Aug 31, 2026
CLIA Number31D0674722
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLeonard Feitell
Laboratory Phone(908) 459-4128
Laboratory LocationForest Manor Health Care CenterPO Box 283 145 State Park Road, Hope, NJ 07844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ti Healthcare I LLC's NPI number?

The NPI number for Ti Healthcare I LLC is 1376664177. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Forest Manor Health Care Center.

Where is Ti Healthcare I LLC located?

Ti Healthcare I LLC is located at 145 State Park Road, Blairstown, NJ 07825. The listed phone number is (908) 459-4128.

What is Ti Healthcare I LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ti Healthcare I LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0674722) is associated with this NPI, valid through August 31, 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 Ti Healthcare I LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.